Organization Active NPI

Shorecrest Legacy Group LLC

  • Wound Care Registered Nurse
  • Santa Monica, CA
National Provider Identifier
1609711894
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
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

Updated by the provider on Apr 22, 2026

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)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.