Active NPI
John Molitoris Jr., M.D.
- Adult Medicine Physician
- Culver City, CA
National Provider Identifier
1588866982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- C146371
- Practice address
- 10202 Washington Blvd
Culver City, CA 90232-3119 - Phone
- (215) 478-2072
- Fax
- (310) 388-1367
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT191117 | PA | |
| Family Medicine Physician | 207Q00000X | MD438720 | PA | |
| Family Medicine Physician | 207Q00000X | 25MA08828400 | NJ | |
| Adult Medicine Physician | 207QA0505X | C146371 | CA | Primary |
Addresses
Primary practice location
10202 Washington Blvd
Culver City, CA 90232-3119
Mailing address
2934 1/2 N Beverly Glen Cir # 198
Los Angeles, CA 90077-1745
Phone (310) 482-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD438720 | PA | MD | Family Medicine Physician |
| MT191117 | PA | MD | Family Medicine Physician |
| C146371 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molitoris Medical John Molitoris Rare Find Medical | Family Medicine | Current | Accepting new patients |
Locations
10202 Washington Blvd
Culver City, CA 90232
Phone (310) 244-5560
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Culver City, CA
- NPI 1598691552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1588866982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 1/2 N BEVERLY GLEN CIR # 198",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771745",
"telephone_number": "310-482-8444",
"fax_number": "310-388-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10202 WASHINGTON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323119",
"telephone_number": "215-478-2072",
"fax_number": "310-388-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLITORIS",
"first_name": "JOHN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT191117",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD438720",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08828400",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "C146371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.