Active NPI
Natasha Mitra
- Family Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A199358
- Practice address
- 1260 15TH St Ste 1501
Santa Monica, CA 90404-1150 - Phone
- (310) 656-1701
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R77288 | AZ | |
| Family Medicine Physician | 207Q00000X | A199358 | CA | Primary |
Addresses
Primary practice location
1260 15TH St Ste 1501
Santa Monica, CA 90404-1150
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2230 S Fraser St Unit 1
Aurora, CO 80014-4536
Phone (303) 341-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1245 16TH St
Santa Monica, CA 90404-1240
1260 15TH St
Suite 1501
Santa Monica, CA 90404-1150
Phone (310) 656-1701
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530
Hospital & facility affiliations
- Calipso Home Health Care Inc
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R77288 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Family Medicine | Current | Accepting new patients |
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Family Medicine | Current | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
2230 S Fraser St
Unit 1
Aurora, CO 80014
Phone (303) 341-4200
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013
Interoperability endpoints
- nmitra119428@westdirect.optum.com
- nmitra1407886@direct.uclahealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Family Medicine
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Family Medicine Physician
- Golden, CO
- NPI 1730797630
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1992336283
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northridge, CA
- NPI 1972672996
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1548723562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST STE 1501",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041150",
"telephone_number": "310-656-1701"
}
],
"practiceLocations": [
{
"address_1": "2230 S Fraser St Unit 1",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800144536",
"country_code": "US",
"telephone_number": "303-341-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITRA",
"first_name": "NATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R77288",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A199358",
"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 Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.