Active NPI
Santa Monica Dermatology Group
- Dermatology Physician
- Santa Monica, CA
National Provider Identifier
1356870067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SANTA MONICA DERMATOLOGY GROUP
- Practice address
- 2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404 - Phone
- (310) 829-4484
- NPI assigned
- Jun 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Mendoza
- Title
- Office Manager
- Phone
- (310) 829-4484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404
Mailing address
2001 Santa Monica Blvd Ste 990W
Santa Monica, CA 90404-2155
Phone (310) 829-4484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2001 Santa Monica Blvd
Ste 990W
Santa Monica, CA 90404
Phone (310) 829-4481
2001 Santa Monica Blvd
Ste 990
Santa Monica, CA 90404
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e1A5O_wfjp6bxazsKQMUgQtMMK_UwF9x/
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1063916906
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1316915267
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1619024502
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1003884925
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1063480473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1356870067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 990W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042155",
"telephone_number": "310-829-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 990W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-829-4484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA MONICA DERMATOLOGY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "310-829-4484"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Santa Monica Bay Dental
- Santa Monica Bay Physicians
- Santa Monica Bay Physicians
- Santa Monica Black Lives Association
- Santa Monica Collective Mind Inc
- Santa Monica Detox
- Santa Monica Eye Medical Group
- Santa Monica Gynecological and Obstectrical Medical Group Incorporated
- Santa Monica Hand Therapy, Inc.
- Santa Monica Homeopathic Phy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.