Organization Active NPI

Thomas a. Hanscom, MD a Medical Corporation

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1134306996
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS A. HANSCOM, MD A MEDICAL CORPORATION
Practice address
2021 Santa Monica Blvd Ste 720E
Santa Monica, CA 90404-2223
Phone
(310) 829-3303
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Miss Jennifer R Randall
Title
Billing Manager
Phone
(310) 829-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 720E
Santa Monica, CA 90404-2223

Mailing address

2021 Santa Monica Blvd Ste 720E
Santa Monica, CA 90404-2223
Phone (310) 829-3303

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Ste 720E
Santa Monica, CA 90404
Phone (310) 829-3303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1134306996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 720E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042223",
            "telephone_number": "310-829-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 720E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042223",
            "telephone_number": "310-829-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. HANSCOM, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-829-3303",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "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 Jan 24, 2008; 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.