Active NPI
Shorecrest Legacy Group LLC
- Wound Care Registered Nurse
- Santa Monica, CA
National Provider Identifier
1609711894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- SHORECREST LEGACY GROUP LLC
- Practice address
- 1424 26TH St Unit 1
Santa Monica, CA 90404-3059 - Phone
- (310) 310-9813
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne Burrows, MD
- Title
- Member
- Phone
- (310) 310-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary |
Addresses
Primary practice location
1424 26TH St Unit 1
Santa Monica, CA 90404-3059
Mailing address
1424 26TH St Unit 1
Santa Monica, CA 90404-3059
Phone (310) 310-9813
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1609711894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 26TH ST UNIT 1",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043059",
"telephone_number": "310-310-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 26TH ST UNIT 1",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043059",
"telephone_number": "310-310-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORECREST LEGACY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "BURROWS",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "310-310-9813",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.