Organization Active NPI

Courtney Mizuhara-Cheng, D.O., M.S.H.S., Inc.

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1588041248
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10710 Issued in CA
Legal business name
COURTNEY MIZUHARA-CHENG, D.O., M.S.H.S., INC.
Practice address
2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Phone
(424) 272-6513
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Courtney Mizuhara-Cheng, D.O.
Title
President
Phone
(424) 272-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A10710 CA Primary

Addresses

Primary practice location

2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964

Mailing address

2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Phone (424) 272-6513

Other names 1

  • Comprehensive Health Integration Doing business as

National Provider Directory

National Provider Directory

Locations

2901 Ocean Park Blvd
Ste 207
Santa Monica, CA 90405
Phone (310) 396-2245

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1588041248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OCEAN PARK BLVD STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052964",
            "telephone_number": "424-272-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OCEAN PARK BLVD STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052964",
            "telephone_number": "424-272-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY MIZUHARA-CHENG, D.O., M.S.H.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "MIZUHARA-CHENG",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-272-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Health Integration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2015; 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.