Organization Active NPI

Santa Fe Internal Medicine Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1295052058
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANTA FE INTERNAL MEDICINE INC
Practice address
1127 Wilshire Blvd
Suite 202
Los Angeles, CA 90017-3901
Phone
(213) 250-0050
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Beatriz E TamayoNPI 1144396383
Title
President
Phone
(213) 250-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1127 Wilshire Blvd
Suite 202
Los Angeles, CA 90017-3901

Mailing address

PO Box 3909
Palos Verdes Estates, CA 90274-9541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000636 CA Part B Supplier - Clinic/Group Practice 5294850863 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1245 Wilshire Blvd
Ste 407
Los Angeles, CA 90017
Phone (213) 747-7307

Practitioners & affiliated clinicians

Practitioners 1

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1295052058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3909",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902749541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "213-250-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-250-0050"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.