NPIMap

Organization Active NPI

Eliot Siegel MD Inc

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1508198482
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G39748 Issued in CA
Legal business name
ELIOT SIEGEL MD INC
Practice address
1301 20TH St
Suite 260
Santa Monica, CA 90404-2052
Phone
(310) 829-1224
Fax
(310) 315-0133
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Eliot Siegel, MDNPI 1427139252
Title
President
Phone
(310) 829-1224

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G39748 CA Primary

Addresses

Primary practice location

1301 20TH St
Suite 260
Santa Monica, CA 90404-2052

Mailing address

1301 20TH St
Suite 260
Santa Monica, CA 90404-2052
Phone (310) 829-1224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1508198482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042052",
            "telephone_number": "310-829-1224",
            "fax_number": "310-315-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 260",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042052",
            "telephone_number": "310-829-1224",
            "fax_number": "310-315-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT SIEGEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-1224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39748",
            "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 3, 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.