NPIMap

Organization Active NPI

Santa Monica Bay Area Physicians

  • Neurology Physician
  • Santa Monica, CA
National Provider Identifier
1700117546
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Practice address
2001 Santa Monica Blvd
860
Santa Monica, CA 90404-2102
Phone
(310) 828-3209
Fax
(310) 828-5165
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA MONICA BAY AREA PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Bernard J Katz, M.D.
Title
Co-Ceo
Phone
(310) 417-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X G44560 CA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
860
Santa Monica, CA 90404-2102

Mailing address

6029 Bristol Pkwy
100
Culver City, CA 90230-6643
Phone (310) 417-5900

Other identifiers 1

IdentifierTypeStateIssuer
W14560OtherCAPTAN

National Provider Directory

National Provider Directory
Tax ID family
Santa Monica Bay Physic12 organizations share this tax ID, including this one
Part of
Santa Monica Bay Physic

Other organizations with this tax ID 11

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

Locations

2001 Santa Monica Blvd
Ste 860
Santa Monica, CA 90404
Phone (310) 828-3209

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1700117546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BRISTOL PKWY",
            "address_2": "100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306643",
            "telephone_number": "310-417-5900",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "860",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-3209",
            "fax_number": "310-828-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "310-417-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G44560",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W14560",
            "state": "CA"
        }
    ],
    "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 Jan 19, 2010; 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.