Playa Medical Management LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

A66385 Issued in CA

Legal business name

PLAYA MEDICAL MANAGEMENT LLC

Practice address

5450 Lincoln Blvd
Playa Vista, CA 90094-2002

Phone

(310) 305-9200

Fax

(310) 305-2800

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Gladys Happer, NP

Title

Administrator

Phone

(310) 305-9200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1689100745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-305-9200",
            "fax_number": "310-305-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 LINCOLN BLVD",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942002",
            "telephone_number": "310-305-9200",
            "fax_number": "310-305-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYA MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "HAPPER",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-305-9200",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "E4361",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "A66385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Marie Osler, R.D.
• Ivette Osorio
• Pacific Medical Group
• Cora Palma, PHD, LEP, PPS
• Prisha Patel, MD
• Playa Physical Therapy
• Playa Vista Dental
• Emily Popoff, DPT
• Hannah Rable, PT, DPT, CSCS
• RMPM Group Inc

• Prevention Professional in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.