Christian Codesido

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1453 16TH St
Santa Monica, CA 90404-2715

Phone

(310) 264-6646

NPI assigned

Jun 3, 2014

Last updated

Jun 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1104239573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042715",
            "telephone_number": "310-264-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042715",
            "telephone_number": "310-264-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODESIDO",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastline Community Health (Dogtown Community Health)
• Joshua David Cobia, RADT
• Mary Katherine Cocharo, LMFT
• Catherine Elizabeth Cochet
• Marc Everett Code, C.R.N.A.
• Cassia Coelho Santa Helena, LMSW
• Brandy Lynne Cohen-Brown, D.O.
• Abraham Cohen, D.D.S,INC
• Barry Joel Cohen, O.D.
• Dalisa Cohen, LMFT

• Student in an Organized Health Care Education/Training Program in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.