Individual provider Active NPI

John Molitoris Jr., M.D.

  • Adult Medicine Physician
  • Culver City, CA
National Provider Identifier
1588866982
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
C146371 Issued in CA
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

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
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

LicenseStateTypeSpecialty
MD438720PAMDFamily Medicine Physician
MT191117PAMDFamily Medicine Physician
C146371CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.