Organization Active NPI

Soulaire Wellness

  • Pain Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1134090558
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOULAIRE WELLNESS
Practice address
1934 14TH St
Santa Monica, CA 90404-4605
Phone
(310) 473-3030
Fax
(310) 473-4848
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Mo Soulati
Title
Ceo
Phone
(310) 473-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1934 14TH St
Santa Monica, CA 90404-4605

Mailing address

1934 14TH St
Santa Monica, CA 90404-4605
Phone (310) 473-3030

National Provider Directory

National Provider Directory

Locations

1934 14th St
Santa Monica, CA 90404
Phone (310) 452-1800

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1134090558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 14TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605",
            "telephone_number": "310-473-3030",
            "fax_number": "310-473-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 14TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605",
            "telephone_number": "310-473-3030",
            "fax_number": "310-473-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULAIRE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "SOULATI",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-473-3030"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "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 Sep 17, 2025; 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.