Organization Active NPI

California Iom Incorporated

  • Neurological Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1205402617
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CALIFORNIA IOM INCORPORATED
Practice address
2811 Wilshire Blvd Ste 930
Santa Monica, CA 90403-4803
Phone
(310) 710-1919
Fax
(424) 238-8362
NPI assigned
May 27, 2021
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Daniel Nagasawa, MDNPI 1578820536
Title
Owner
Phone
(310) 710-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 930
Santa Monica, CA 90403-4803

Mailing address

2811 Wilshire Blvd Ste 930
Santa Monica, CA 90403-4803
Phone (310) 710-1919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnagasawa@achievebrainandspine.com Direct

National Provider Directory

National Provider Directory

Locations

2811 Wilshire Blvd
Ste 930
Santa Monica, CA 90403
Phone (310) 710-1919

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1205402617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 930",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-710-1919",
            "fax_number": "424-238-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 930",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-710-1919",
            "fax_number": "424-238-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA IOM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "NAGASAWA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-710-1919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnagasawa@achievebrainandspine.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2811 Wilshire Blvd Ste 930",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904034803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 8, 2025; 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.