Organization Active NPI

MDSM Group Inc

  • General Practice Physician
  • Santa Monica, CA
National Provider Identifier
1497293682
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A111784 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Darren M Boyer, M.D.NPI 1992960462
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)CodeLicenseStatePrimary
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 Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.