NPIMap

Organization Active NPI

Men's Health Foundation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1356889836
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A44497 Issued in CA
Legal business name
MEN'S HEALTH FOUNDATION
Practice address
9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709
Phone
(310) 550-1010
Fax
(310) 550-0650
NPI assigned
Feb 6, 2017
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Anthony Mills, MDNPI 1679683049
Title
Executive Director
Phone
(310) 550-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A44497 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709

Mailing address

9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709
Phone (310) 550-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170315001796 CA Part B Supplier - Clinic/Group Practice 0345521548 Receives reassigned benefits from 17 practitioners
Practice locations: Los Angeles, CA; West Hollywood, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

9201 W Sunset Blvd
Ste 812
West Hollywood, CA 90069
Phone (310) 271-4656

Interoperability endpoints

  • Direct secure messaging: anthonymills@scmmg.allscriptsdirect.net
  • Direct secure messaging: brenttonlowery@scmmg.allscriptsdirect.net
  • Direct secure messaging: carlosestrellaromano@scmmg.allscriptsdirect.net
  • Direct secure messaging: caseywelk@scmmg.allscriptsdirect.net
  • Direct secure messaging: danielfazzino@scmmg.allscriptsdirect.net
  • Direct secure messaging: davidtellalian@scmmg.allscriptsdirect.net
  • Direct secure messaging: felipefindley@scmmg.allscriptsdirect.net
  • Direct secure messaging: jamesbon@scmmg.allscriptsdirect.net
  • Direct secure messaging: jasondeepcheema@scmmg.allscriptsdirect.net
  • Direct secure messaging: jaykim@scmmg.allscriptsdirect.net
  • Direct secure messaging: josephdefoto@scmmg.allscriptsdirect.net
  • Direct secure messaging: luzramirez@scmmg.allscriptsdirect.net
  • Direct secure messaging: manuelpardo@scmmg.allscriptsdirect.net
  • Direct secure messaging: michaeltran@scmmg.allscriptsdirect.net
  • Direct secure messaging: mylesspar@scmmg.allscriptsdirect.net
  • Direct secure messaging: rodneyfox@scmmg.allscriptsdirect.net
  • Direct secure messaging: sergiohurtado@scmmg.allscriptsdirect.net
  • Direct secure messaging: summerdrake@scmmg.allscriptsdirect.net
  • Direct secure messaging: tracyrobinson@scmmg.allscriptsdirect.net
  • Direct secure messaging: tritrang@scmmg.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1356889836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-550-1010",
            "fax_number": "310-550-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-550-1010",
            "fax_number": "310-550-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-550-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.