Active NPI
Jeanne M Axler, M.D.
- Pain Medicine Physician
- Santa Monica, CA
National Provider Identifier
1083648547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A40424
- Practice address
- 3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3240 - Phone
- (310) 452-8345
- Fax
- (310) 452-8347
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A40424 | CA | Primary |
Addresses
Primary practice location
3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3240
Mailing address
3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3239
Phone (310) 452-8345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000802 | CA | Practitioner - General Practice | 4981861465 | Practice locations: Santa Monica, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1083648547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 OCEAN PARK BLVD STE 250",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053239",
"telephone_number": "310-452-8345",
"fax_number": "310-452-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 OCEAN PARK BLVD STE 250",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053240",
"telephone_number": "310-452-8345",
"fax_number": "310-452-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXLER",
"first_name": "JEANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A40424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.