Organization Active NPI

Johnson Salib Medical Group, PC

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1316844178
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JOHNSON SALIB MEDICAL GROUP, PC
Practice address
2730 Wilshire Blvd Ste 630
Santa Monica, CA 90403-4790
Phone
(877) 460-3905
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Nicole L Toomer-Tatum
Title
Credentialing Coordinator
Phone
(318) 855-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2730 Wilshire Blvd Ste 630
Santa Monica, CA 90403-4790

Mailing address

PO Box 2737
Monroe, LA 71207-2737
Phone (318) 855-0841

National Provider Directory

National Provider Directory

Locations

2730 Wilshire Blvd
Ste 630
Santa Monica, CA 90403
Phone (310) 208-5120

Practitioners & affiliated clinicians

Practitioners 1

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": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1316844178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2737",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072737",
            "telephone_number": "318-855-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 630",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034790",
            "telephone_number": "877-460-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON SALIB MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "TOOMER-TATUM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "318-855-0841"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 23, 2026; 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.