Individual provider Active NPI

Aurelia Nattiv

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1659394021
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59607 Issued in CA
Practice address
1250 16TH St Ste 2100
Santa Monica, CA 90404-1249
Phone
(310) 319-1234
Fax
(424) 259-6560
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G59607 CA
Sports Medicine (Family Medicine) Physician 207QS0010X G59607 CA
Family Medicine Physician 207Q00000X G59607 CA Primary

Addresses

Primary practice location

1250 16TH St Ste 2100
Santa Monica, CA 90404-1249

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

100 Ucla Medical Plaza Suite 755
Los Angeles, CA 90095-3414
Phone (310) 319-1234

Other practice location 2

9675 Brighton Way Ste 100
Beverly Hills, CA 90210-5132
Phone (424) 259-9382

Other identifiers 1

IdentifierTypeStateIssuer
00G596070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000471 CA Practitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2062545114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Washington University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1225 15TH St
Suite 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

Merit-based Incentive Payment System (MIPS)

Final score
92.7 of 100Reported as group
Quality
82.59
Promoting interoperability
100
Improvement activities
40
Cost
65.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59607CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince May 4, 2010 Accepting new patients
Regents of the University of California Sports Medicine CurrentSince May 4, 2010 Accepting new patients
Regents of the University of California Adult Reconstructive Orthopaedic Surgery Current Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
UCLA Family Practice Family Medicine Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

9675 Brighton Way
Ste 100
Beverly Hills, CA 90210
Phone (310) 205-7310

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

100 UCLA Medical Plz
Ste 755
Los Angeles, CA 90024
Phone (310) 206-2386

1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700

1225 15th St
#2100
Santa Monica, CA 90404

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560

1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593

Interoperability endpoints

  • Direct secure messaging: anattiv43480@direct.uclahealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1659394021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST STE 2100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "310-319-1234",
            "fax_number": "424-259-6560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ucla Medical Plaza Suite 755",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953414",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "fax_number": "424-259-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9675 Brighton Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105132",
            "country_code": "US",
            "telephone_number": "424-259-9382",
            "fax_number": "424-259-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATTIV",
        "first_name": "AURELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G59607",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G59607",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G596070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.