Tenth Street Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TENTH STREET PEDIATRICS

Practice address

1450 10TH St
Suite 304
Santa Monica, CA 90401-2838

Phone

(310) 458-1714

Fax

(310) 394-8754

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Wasson, M.D.

Title

President

Phone

(310) 458-1714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295126431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "SUITE 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012838",
            "telephone_number": "310-458-1714",
            "fax_number": "310-394-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 10TH ST",
            "address_2": "SUITE 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012838",
            "telephone_number": "310-458-1714",
            "fax_number": "310-394-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENTH STREET PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-458-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas W Techentin, PHD
• George P. Teitelbaum, M.D.
• Steven A. Teitelbaum
• Adrienne Telemaque, PT
• Tenth Street Pediatric Medical Group, Inc.
• Teresa K. Yang, D.D.S., a Professional Corporation
• Terri Faith Psychology,PC
• Jennifer Thai, PT, DPT
• Pinky R Thakkar, P.A.-C
• Arita Vandana Thatte, MD

• Pediatrics Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.