J David Edwards MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A26085 Issued in CA

Legal business name

J DAVID EDWARDS MD INC

Practice address

2001 Santa Monica Blvd
Suite 1265W
Santa Monica, CA 90404-2102

Phone

(310) 828-8566

Fax

(310) 453-9531

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John David Edwards, M.D.

Title

President

Phone

(310) 828-8566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1114232691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1265W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-8566",
            "fax_number": "310-453-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1265W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-8566",
            "fax_number": "310-453-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DAVID EDWARDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-828-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A26085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary K. Iwamoto, D.C.
• Eugene Iwasa, LAC
• Omi Iwasaki, PT, DPT, OCS, ATC
• Preetha Srinath Iyengar
• J & C Wellness LLC (SYNERGY HomeCare of Santa Monica)
• J Ronald Rich MD Inc (Bay Neurosurgical Group)
• Bradley A Jabour, M.D.
• Gregory Scott Jack, M.D.
• Aaron Jackson
• Ashley Jackson, BA

• Medical Specialty Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.