Organization Active NPI

Stanton G. Axline M.D. a Medical Corporation

  • Infectious Disease Physician
  • Santa Monica, CA
National Provider Identifier
1437422292
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
C23954 Issued in CA
Legal business name
STANTON G. AXLINE M.D. A MEDICAL CORPORATION
Practice address
2001 Santa Monica Blvd
Suite 655W
Santa Monica, CA 90404-2102
Phone
(310) 829-0919
Fax
(310) 829-1260
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Stanton G Axline, M.D.NPI 1437215803
Title
Owner
Phone
(310) 829-0912

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
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X C23954 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
Suite 655W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd Ste 687W
Santa Monica, CA 90404-2186
Phone (310) 829-0919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000849 CA Part B Supplier - Clinic/Group Practice 5698932044 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2001 Santa Monica Blvd
Ste 1260
Santa Monica, CA 90404

2001 Santa Monica Blvd
Ste 655W
Santa Monica, CA 90404
Phone (310) 829-0919

2001 Santa Monica Blvd
Ste 687W
Santa Monica, CA 90404
Phone (310) 829-0919

2001 Santa Monica Blvd
Ste 1260W
Santa Monica, CA 90404
Phone (310) 829-0919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1437422292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 687W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042186",
            "telephone_number": "310-829-0919",
            "fax_number": "310-829-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 655W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-0919",
            "fax_number": "310-829-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON G. AXLINE M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "AXLINE",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-829-0912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "C23954",
            "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 Aug 27, 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.

Verify at the official NPI Registry.