Organization Active NPI

Peb LLC

  • Ambulatory Fertility Facility
  • Santa Monica, CA
National Provider Identifier
1215795117
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
PEB LLC
Practice address
2825 Santa Monica Blvd Ste 100
Santa Monica, CA 90404-2429
Phone
(310) 566-1470
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mrs. Sarah Joy Bry, MHA
Title
VP, Third-Party Reproduction
Phone
(424) 286-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

2825 Santa Monica Blvd Ste 100
Santa Monica, CA 90404-2429

Mailing address

6720 N Scottsdale Rd Ste 160
Scottsdale, AZ 85253-4421
Phone (424) 385-0100

Other names 1

  • Pinnacle Egg Bank Doing business as

National Provider Directory

National Provider Directory

Locations

6720 N Scottsdale Rd
Ste 160
Scottsdale, AZ 85253
Phone (480) 874-2229

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1215795117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N SCOTTSDALE RD STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534421",
            "telephone_number": "424-385-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042429",
            "telephone_number": "310-566-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "BRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "VP, THIRD-PARTY REPRODUCTION",
        "authorized_official_telephone_number": "424-286-8366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Egg Bank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2024; 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.