Create Cures Foundation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CREATE CURES FOUNDATION

Doing business as

Create Cures Foundation

Practice address

1260 15TH St Ste 1109
Santa Monica, CA 90404-1146

Phone

(424) 785-9099

NPI assigned

Mar 4, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marco Paonessa

Title

Office Manager

Phone

(424) 785-9099

Specialties & licenses 1

Addresses

Other names 1

• Create Cures Foundation Doing business as

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.

• Tanya Audrey Margaret Deporto, MD, PHD, MPH

  • Public Health & General Preventive Medicine Physician
  • Redlands, CA
  • NPI 1750825295
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1427683945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 1109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041146",
            "telephone_number": "424-785-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 1109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041146",
            "telephone_number": "424-785-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE CURES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "PAONESSA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "424-785-9099"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Create Cures Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Create Cures Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laraine Crampton, LAC
• Emily Crandall, M.D.
• Jessica Crane
• Daejon Damar Crawford
• Elizabeth Ann Cray, NP
• Gabriel Crenshaw Jr., PSY.D
• Christopher Aaron Criswell, M.A.
• Francis M Crnkovich, MD
• Catherine Croft, RBT
• Kari Elizabeth Croft

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.