Santa Monica Orthopaedic and Sports Medicine Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

047467 Issued in CA

Legal business name

SANTA MONICA ORTHOPAEDIC AND SPORTS MEDICINE GROUP

Practice address

2020 Santa Monica Blvd
Suite 400
Santa Monica, CA 90404-2023

Phone

(310) 829-2663

Fax

(310) 315-5620

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. M Ramin Modabber, M.D.

Title

President

Phone

(310) 829-2663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kevin M Ehrhart, M.D.

  • Orthopaedic Surgery Physician
  • Santa Monica, CA
  • NPI 1053400283
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1457423725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD",
            "address_2": "SUITE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042023",
            "telephone_number": "310-829-2663",
            "fax_number": "310-315-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD",
            "address_2": "SUITE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042023",
            "telephone_number": "310-829-2663",
            "fax_number": "310-315-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA ORTHOPAEDIC AND SPORTS MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "MODABBER",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "047467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Monica Medical Institute Inc
• Santa Monica Neonatal Associates
• Santa Monica Nerve Conduction
• Santa Monica Operating Company LP
• Santa Monica Operations LLC
• Santa Monica Orthopaedic Group
• Santa Monica Outpatient Surgery Center
• Santa Monica Physical Therapy Inc
• Santa Monica Podiatry Group, Inc.
• Santa Monica Preventive Cardiology Medical Group, Inc

• Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.