Active NPI
Danice Hertz MD Inc
- Gastroenterology Physician
- Santa Monica, CA
National Provider Identifier
1225148489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G52302
- Legal business name
- DANICE HERTZ MD INC
- Practice address
- 2001 Santa Monica Blvd
Suite 360W
Santa Monica, CA 90404-2102 - Phone
- (310) 453-1871
- Fax
- (310) 453-3910
- NPI assigned
- Aug 30, 2006
- 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
- Mr. John Manning
- Title
- Administrator
- Phone
- (310) 453-1871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G52302 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd
Suite 360W
Santa Monica, CA 90404-2102
Mailing address
2001 Santa Monica Blvd
Suite 360W
Santa Monica, CA 90404-2102
Phone (310) 453-1871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W21288 | Other | CA | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2001 Santa Monica Blvd
Ste 360W
Santa Monica, CA 90404
Phone (310) 453-1871
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Santa Monica, CA
- NPI 1558310805
-
- Gastroenterology Physician
- Santa Monica, CA
- NPI 1093764359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200355200000",
"number": "1225148489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 360W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-453-1871",
"fax_number": "310-453-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 360W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-453-1871",
"fax_number": "310-453-3910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANICE HERTZ MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-01-15",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-453-1871",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G52302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W21288",
"state": "CA"
}
],
"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 Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.