Active NPI
Santa Monica Acute Pain Medical Group
- Anesthesiology Physician
- Santa Monica, CA
National Provider Identifier
1174531743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SANTA MONICA ACUTE PAIN MEDICAL GROUP
- Practice address
- 1250 16TH St
Santa Monica, CA 90404-1249 - Phone
- (310) 319-4610
- NPI assigned
- Aug 3, 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
- Evan M. Krantz, M.D.
- Title
- President
- Phone
- (310) 284-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
1250 16TH St
Santa Monica, CA 90404-1249
Mailing address
225 S Lake Ave
535
Pasadena, CA 91101-3005
Phone (626) 795-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0056750 | Medicaid | CA | |
| ZZZ38961Z | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174531743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE",
"address_2": "535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013005",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "310-319-4610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MONICA ACUTE PAIN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRANTZ",
"authorized_official_first_name": "EVAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-284-1221",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0056750",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ38961Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Sanhu House LLC
- Claudia Patricia Sanmiguel, M.D.
- Sanny K Chan, MD, PHD, Inc
- Sant P Chawla M D Inc
- Santa Monica Acupuncture Center, Inc
- Santa Monica Advanced Surgical Institute LLC
- Santa Monica Bay Area Physicians
- Santa Monica Bay Area Physicians
- Santa Monica Bay Area Physicians
- Santa Monica Bay Area Physicians
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.