Active NPI
Harold D. Clavin, M.D., Inc.
- Plastic Surgery Physician
- Santa Monica, CA
National Provider Identifier
1629117395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G17083
- Legal business name
- HAROLD D. CLAVIN, M.D., INC.
- Practice address
- 2001 Santa Monica Blvd
#890W
Santa Monica, CA 90404-2102 - Phone
- (310) 829-5977
- NPI assigned
- Feb 6, 2007
- 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
- Dr. Harold D. Clavin, M.D.
- Title
- Owner
- Phone
- (310) 829-5977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G17083 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd
#890W
Santa Monica, CA 90404-2102
Mailing address
11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 471-5852
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- Santa Monica, CA
- NPI 1124167804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629117395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-471-5852",
"fax_number": "310-471-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "#890W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-829-5977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAROLD D. CLAVIN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLAVIN",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-829-5977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G17083",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.