Active NPI
Jaime Marie Shamonki, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Santa Monica, CA
National Provider Identifier
1184781924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A95286
- Practice address
- 1328 22ND St
Saint John's Health Center, Dept of Pathology
Santa Monica, CA 90404-2032 - Phone
- (310) 829-8101
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A95286 | CA | Primary |
Addresses
Primary practice location
1328 22ND St
Saint John's Health Center, Dept of Pathology
Santa Monica, CA 90404-2032
Mailing address
13953 Panay Way Apt 222
Marina del Rey, CA 90292-6191
Phone (310) 822-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95286 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184781924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13953 PANAY WAY APT 222",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926191",
"telephone_number": "310-822-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 22ND ST",
"address_2": "SAINT JOHN'S HEALTH CENTER, DEPT OF PATHOLOGY",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042032",
"telephone_number": "310-829-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMONKI",
"first_name": "JAIME",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A95286",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.