NPIMap

Organization Active NPI

Frumovitz, Matsunaga, Daly, Ross, Thordarson, Vogel, MD'S - a Med Corp

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1447348909
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FRUMOVITZ, MATSUNAGA, DALY, ROSS, THORDARSON, VOGEL, MD'S - A MED CORP
Practice address
2001 Santa Monica Blvd
#970-W
Santa Monica, CA 90404-2102
Phone
(310) 829-7878
Fax
(310) 453-5586
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dolores J Niece
Title
Office MGR
Phone
(310) 586-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
#970-W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd
#970-W
Santa Monica, CA 90404-2102
Phone (310) 829-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000280 CA Part B Supplier - Clinic/Group Practice 6204734304 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2001 Santa Monica Blvd
Ste 970
Santa Monica, CA 90404
Phone (310) 829-7878

2001 Santa Monica Blvd
Ste 970W
Santa Monica, CA 90404
Phone (310) 829-7272

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 9

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1447348909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#970-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-7878",
            "fax_number": "310-453-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#970-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-7878",
            "fax_number": "310-453-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUMOVITZ, MATSUNAGA, DALY, ROSS, THORDARSON, VOGEL, MD'S - A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "NIECE",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "310-586-9410"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Nov 9, 2010; 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.