Organization Active NPI

Wise & Healthy Aging

  • Adult Day Care Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1316118789
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WISE & HEALTHY AGING
Practice address
1527 4TH St
2ND Floor
Santa Monica, CA 90401-2358
Phone
(310) 394-9871
Fax
(310) 395-0863
NPI assigned
Mar 13, 2008
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Mrs. Molly DaviesNPI 1376773069
Title
President and Ceo
Phone
(310) 394-9871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1527 4TH St
2ND Floor
Santa Monica, CA 90401-2358

Mailing address

1527 4TH St
Santa Monica, CA 90401-2358
Phone (310) 394-9871

National Provider Directory

National Provider Directory

Locations

1527 4th St
Santa Monica, CA 90401
Phone (310) 394-9871

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1316118789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012358",
            "telephone_number": "310-394-9871",
            "fax_number": "310-576-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 4TH ST",
            "address_2": "2ND FLOOR",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012358",
            "telephone_number": "310-394-9871",
            "fax_number": "310-395-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE & HEALTHY AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "310-394-9871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 20, 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.