Active NPI
Peb LLC
- Ambulatory Fertility Facility
- Santa Monica, CA
National Provider Identifier
1215795117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.