NPIMap

Organization Active NPI

Santa Monica Bay Area Physicians

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1245268267
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Practice address
2001 Santa Monica Blvd
1080
Santa Monica, CA 90404-2102
Phone
(310) 315-7900
Fax
(310) 315-7930
NPI assigned
Jun 29, 2006
Organization subpart
Yes
Parent organization
SANTA MONICA BAY AREA PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Bernard J Katz, MD
Title
Co Chief Executive Officer
Phone
(310) 417-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
1080
Santa Monica, CA 90404-2102

Mailing address

6029 Bristol Pkwy
100
Culver City, CA 90230-6643
Phone (310) 417-5901

Other identifiers 1

IdentifierTypeStateIssuer
W14560OtherCAMEDICARE LOCATION PTAN

Other names 1

  • center for health enhancement Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Monica Bay Phys12 organizations share this tax ID, including this one
Part of
Santa Monica Bay Phys

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1245268267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BRISTOL PKWY",
            "address_2": "100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306643",
            "telephone_number": "310-417-5901",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "1080",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-315-7900",
            "fax_number": "310-315-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-417-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LOCATION PTAN",
            "identifier": "W14560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center for health enhancement",
            "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 May 29, 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.

Verify at the official NPI Registry.