Active NPI
Willie Steve Elam II
- Case Manager/Care Coordinator
- Santa Monica, CA
National Provider Identifier
1245358951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2701 Ocean Park Blvd
Santa Monica, CA 90405-5200 - Phone
- (310) 392-9474
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2701 Ocean Park Blvd
Santa Monica, CA 90405-5200
Mailing address
2701 Ocean Park Blvd
Santa Monica, CA 90405-5200
Phone (310) 392-9474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07 | Other | CA | SVC PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245358951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 OCEAN PARK BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055200",
"telephone_number": "310-392-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 OCEAN PARK BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055200",
"telephone_number": "310-392-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAM",
"first_name": "WILLIE",
"middle_name": "STEVE",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SVC PROVIDER",
"identifier": "07",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.