Active NPI
Santa Monica Neonatal Associates
- Neonatal-Perinatal Medicine Physician
- Santa Monica, CA
National Provider Identifier
1144308602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- SANTA MONICA NEONATAL ASSOCIATES
- Practice address
- 1328 22ND St
Santa Monica, CA 90404-2032 - Phone
- (310) 829-8105
- Fax
- (949) 366-2390
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Nordberg
- Title
- Accounts Administrator
- Phone
- (949) 492-3514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
1328 22ND St
Santa Monica, CA 90404-2032
Mailing address
PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101390 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144308602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926741359",
"telephone_number": "949-492-3514",
"fax_number": "949-366-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 22ND ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042032",
"telephone_number": "310-829-8105",
"fax_number": "949-366-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MONICA NEONATAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORDBERG",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "ACCOUNTS ADMINISTRATOR",
"authorized_official_telephone_number": "949-492-3514"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Santa Monica Homeopathic Phy
- Santa Monica Hospice, Inc.
- Santa Monica Medical Center
- Santa Monica Medical Center, Inc.
- Santa Monica Medical Institute Inc
- Santa Monica Nerve Conduction
- Santa Monica Operating Company LP
- Santa Monica Operations LLC
- Santa Monica Orthopaedic and Sports Medicine Group
- Santa Monica Orthopaedic Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.