NPIMap

Organization Active NPI

Van Maele Medical PC

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1285498485
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VAN MAELE MEDICAL PC
Practice address
100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602
Phone
(213) 371-9121
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Renee Salgado
Title
Sr. Provider Relations Coordinator
Phone
(702) 417-6265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602

Mailing address

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602

Other names 1

  • Lifeforce Medical CA PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1285498485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD STE 700",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD STE 700",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013602",
            "telephone_number": "213-371-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN MAELE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SR. PROVIDER RELATIONS COORDINATOR",
        "authorized_official_telephone_number": "702-417-6265"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeforce Medical CA PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lifeforce Medical CA PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 3, 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.

Verify at the official NPI Registry.