Active NPI
Saint Johns Emergency Medicine Specialists Inc a Medical Group
- Emergency Medicine Physician
- Santa Monica, CA
National Provider Identifier
1609888940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SAINT JOHNS EMERGENCY MEDICINE SPECIALISTS INC A MEDICAL GROUP
- Practice address
- 2121 Santa Monica Blvd
Santa Monica, CA 90404-2303 - Phone
- (310) 829-5511
- NPI assigned
- Aug 13, 2006
- Last updated
- Dec 10, 2020
- 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
- Michael J Weitz, MD
- Title
- Cfo
- Phone
- (310) 582-7089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Mailing address
PO Box 4419
Woodland Hills, CA 91365-4419
Phone (818) 340-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0062990 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
Practitioners & affiliated clinicians
Practitioners 49
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1619934643
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1417299231
-
- Emergency Medicine Physician
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- NPI 1437116472
-
- Emergency Medicine Physician
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- NPI 1295963254
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1366731911
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1609800622
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1386601326
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1881864890
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1578918264
Single Specialty
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1699732636
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1407940216
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1104211606
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607558400000",
"number": "1609888940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4419",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913654419",
"telephone_number": "818-340-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042303",
"telephone_number": "310-829-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOHNS EMERGENCY MEDICINE SPECIALISTS INC A MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A",
"authorized_official_last_name": "WEITZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "310-582-7089",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0062990",
"state": "CA"
}
],
"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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.