Individual provider Active NPI

Joel Samuel Isackson, MD

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1285640680
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65572 Issued in CA
Practice address
2121 Wilshire Blvd
# 307
Santa Monica, CA 90403
Phone
(310) 264-0565
Fax
(310) 829-3423
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65572 CA Primary

Addresses

Primary practice location

2121 Wilshire Blvd
# 307
Santa Monica, CA 90403

Mailing address

2121 Wilshire Blvd Ste 307
Santa Monica, CA 90403-5743
Phone (310) 264-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001265 CA Practitioner - Internal Medicine 1951363621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Westside Internal MedicineGroup PAC ID 1850353525, 8 clinicians

Practice addresses (Care Compare)

2121 Wilshire Blvd
Suite 304
Santa Monica, CA 90403-5743
Phone (310) 829-7762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65572CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Internal Medicine Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

2121 Wilshire Blvd
Ste 304
Santa Monica, CA 90403
Phone (310) 264-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1285640680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035743",
            "telephone_number": "310-264-0065",
            "fax_number": "310-829-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "# 307",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-264-0565",
            "fax_number": "310-829-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACKSON",
        "first_name": "JOEL",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.