Michael D Nagata, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G50448 Issued in CA

Practice address

2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404-2169

Phone

(310) 829-8948

Fax

(424) 212-5937

NPI assigned

Jun 23, 2006

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Monica Bay Area Physicians

  dba Santa Monica Bay Physicians

  • Family Medicine Physician
  • Culver City, CA
  • NPI 1770608432
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1124054184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 625E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042169",
            "telephone_number": "310-829-8948",
            "fax_number": "424-212-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 625E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042169",
            "telephone_number": "310-829-8948",
            "fax_number": "424-212-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGATA",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G50448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnagata472946@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2021 Santa Monica Blvd Ste 625E",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnagata472946@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "881 Alma Real Dr Ste 316",
            "city": "Pacific Palisades",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902725061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnagata472946@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1831 Wilshire Blvd Ste B",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erfan Joseph Nadji, M.D.
• Stacey Ann Nadler, RNP
• Hoda Naei, DPM
• Kourosh Naeini
• Daniel Nagasawa, MD
• Donna M Naglich
• Indulal M. Nagrecha, D.D.S.
• Gilda Sara Nahamia, L.AC.
• Hares Najand, MD
• Michael Alan Najera, LMFT

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.

Verify at the official NPI Registry.