NPIMap

Organization Active NPI

Lifespan Medicine

  • Point of Service
  • Santa Monica, CA
National Provider Identifier
1669924148
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
LIFESPAN MEDICINE
Practice address
2811 Wilshire Blvd Ste 610
Santa Monica, CA 90403-4814
Phone
(310) 453-2335
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Rachael Buechler
Title
Coo
Phone
(310) 453-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 610
Santa Monica, CA 90403-4814

Mailing address

2811 Wilshire Blvd Ste 610
Santa Monica, CA 90403-4814
Phone (310) 453-2335

National Provider Directory

National Provider Directory
Tax ID family
Lifespan Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1669924148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034814",
            "telephone_number": "310-453-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034814",
            "telephone_number": "310-453-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "BUECHLER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-453-2335"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "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 Oct 31, 2016; 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.