Active NPI
MDSM Group Inc
- General Practice Physician
- Santa Monica, CA
National Provider Identifier
1497293682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A111784
- Legal business name
- MDSM GROUP INC
- Practice address
- 2001 Santa Monica Blvd Ste 490W
Santa Monica, CA 90404-2127 - Phone
- (323) 459-1543
- NPI assigned
- Feb 7, 2017
- Last updated
- Feb 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren M Boyer, M.D.
- Title
- Ceo
- Phone
- (323) 459-1543
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A111784 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 490W
Santa Monica, CA 90404-2127
Mailing address
2001 Santa Monica Blvd Ste 490W
Santa Monica, CA 90404-2127
Phone (323) 459-1543
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/16604/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Adult Medicine Physician
- Santa Monica, CA
- NPI 1992960462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1497293682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 490W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042127",
"telephone_number": "323-459-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 490W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042127",
"telephone_number": "323-459-1543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDSM GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-459-1543",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A111784",
"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 Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.