Stephen Patt MD, Center for Family Practice and Entertainment Medicine

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G47632A Issued in CA

Legal business name

STEPHEN PATT MD, CENTER FOR FAMILY PRACTICE AND ENTERTAINMENT MEDICINE

Practice address

2001 Santa Monica Blvd
888W
Santa Monica, CA 90404-2102

Phone

(310) 582-1114

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Patt, M.DNPI 1962498303

Title

President

Phone

(310) 582-1114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Stephen M Patt, MD

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1962498303
  Authorized official Same address or phone

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1407105646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "888W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-582-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "888W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-582-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PATT MD, CENTER FOR FAMILY PRACTICE AND ENTERTAINMENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-582-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G47632A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G47632A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen C Berens, MD a Med. Corp.
• Stephen E Needle DDS, a Professional Corporation
• Stephen F Kingston DDS, Inc. (Second Street Family Dental)
• Stephen H Asher DDS a Professional Corporation
• Stephen L Kuchenbecker M D Inc a Prof Corp (Pacific Surgical Associates)
• Erica Lynn Stephenson
• Richard Alexander Steptoe Sr.
• Jeanette S. Steputis Ryan, D.C.
• Lisa C. Stern, M.D.
• Lisa Marie Stern, PA

• Adult Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.