Active NPI
Peter B Hirsch, M.D.
- Specialist
- Santa Monica, CA
National Provider Identifier
1275568008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G37940
- Practice address
- 3201 Wilshire Blvd
202
Santa Monica, CA 90403-2337 - Phone
- (310) 630-3717
- Fax
- (310) 451-1244
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G37940 | CA | Primary |
Addresses
Primary practice location
3201 Wilshire Blvd
202
Santa Monica, CA 90403-2337
Mailing address
3201 Wilshire Blvd
202
Santa Monica, CA 90403-2337
Phone (310) 630-3717
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G37940 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1275568008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD",
"address_2": "202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032337",
"telephone_number": "310-630-3717",
"fax_number": "310-451-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD",
"address_2": "202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032337",
"telephone_number": "310-630-3717",
"fax_number": "310-451-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "PETER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G37940",
"primary": true
}
],
"identifiers": [],
"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 Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.