Determined Medical Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

DETERMINED MEDICAL INC

Practice address

3415 S Sepulveda Blvd Ste 1000
Los Angeles, CA 90034-6292

Phone

(800) 800-0211

NPI assigned

Dec 20, 2023

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Kaiser, MDNPI 1205042470

Title

President

Phone

(310) 866-7800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Scott Kaiser, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Santa Monica, CA
  • NPI 1205042470
  Medicare reassignment Authorized official
• Julie Anne Poepoe, FNP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1164649232
  Medicare reassignment
• Genaro Grajeda

  • Community Health Worker
  • San Bernardino, CA
  • NPI 1730904905
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1639948557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 OCEAN PARK BLVD # 154",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053004",
            "telephone_number": "800-800-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346292",
            "telephone_number": "800-800-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETERMINED MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-866-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Gini Destrube, L.AC.
• Theresa Renee Desvignes
• Desway Corporation
• Dawn Anne Desylvia, MD
• Nicholas Kenneth Detchman
• Detox Treatment Center
• Zephyr Detrano
• Jon A Detterich, MD
• Jina Vinh Dettman
• Alissa Anne Detz, MD

• Geriatric Medicine (Family Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.

Verify at the official NPI Registry.