Organization Active NPI

David Yamini, MD Inc

  • Gastroenterology Physician
  • Santa Monica, CA
National Provider Identifier
1326405713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A106978 Issued in CA
Legal business name
DAVID YAMINI, MD INC
Practice address
2001 Santa Monica Blvd
#1286-W
Santa Monica, CA 90404
Phone
(310) 285-3005
Fax
(310) 935-1560
NPI assigned
Jan 15, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Yamini MD Inc, M.D.
Title
MD, Doctor
Phone
(310) 285-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A106978 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
#1286-W
Santa Monica, CA 90404

Mailing address

2001 Santa Monica Blvd
#1286-W
Santa Monica, CA 90404
Phone (310) 285-3005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425001506 CA Part B Supplier - Clinic/Group Practice 0648579797 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2001 Santa Monica Blvd
Ste 1286W
Santa Monica, CA 90404
Phone (310) 285-3005

Practitioners & affiliated clinicians

Practitioners 3

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326405713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#1286-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-285-3005",
            "fax_number": "310-935-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#1286-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-285-3005",
            "fax_number": "310-935-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID YAMINI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INC",
        "authorized_official_first_name": "DAVID YAMINI",
        "authorized_official_middle_name": "MD",
        "authorized_official_title_or_position": "MD, DOCTOR",
        "authorized_official_telephone_number": "310-285-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A106978",
            "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 Jul 21, 2022; 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.