Pacific Ocean Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

CAG46186 Issued in CA

Legal business name

PACIFIC OCEAN PEDIATRICS

Practice address

2216 Santa Monica Blvd
Ste #204
Santa Monica, CA 90404

Phone

(310) 264-2100

Fax

(310) 264-2108

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Willard Kessenich

Title

Office Manager

Phone

(310) 264-2100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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

• Karina Eastman, M.D.

  • Pediatrics Physician
  • Santa Monica, CA
  • NPI 1720405897

  Multi-Specialty

  NPD (past)
• Tiffany Joy Fischman, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1518306257
  NPD (past)
• Robert Curtis Hamilton, MD

  • Pediatrics Physician
  • Santa Monica, CA
  • NPI 1760653653
  NPD (past)
• Lily Maryam Marouf, M.D.

  • Pediatrics Physician
  • Santa Monica, CA
  • NPI 1689967093
  NPD (past)
• Noel Hamilton Salyer, MD

  • Pediatrics Physician
  • Stanford, CA
  • NPI 1265629687
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184759599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 SANTA MONICA BLVD",
            "address_2": "STE #204",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-264-2100",
            "fax_number": "310-264-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 SANTA MONICA BLVD",
            "address_2": "STE #204",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-264-2100",
            "fax_number": "310-264-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OCEAN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSENICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-264-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "CAG46186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Heart Institute
• Pacific Integrative Medical Center, Inc
• Pacific Integrative Medical Group Inc
• Pacific Marriage & Family Therapy Network, a Professional Corporation (Pacific MFT Network)
• Pacific Medical and Nephrology Associates Inc.
• Pacific Orthodontics, LLC (Pacific Orthodontic Group)
• Pacific Palisades Surgery Center and Medical Group Inc (Pacific Surgery Center of Santa Monica)
• Pacific Surgicenter
• Pacific View Recovery Center
• Pacific Wellcare Physical Therapy

• Pediatrics Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatrics Physician in California

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.