Organization Active NPI

Toxicity Assessors Global of Pennsylvania

Doing business as ToxGlobal Diagnostics

  • Point of Service
  • Santa Monica, CA
National Provider Identifier
1710508585
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
TOXICITY ASSESSORS GLOBAL OF PENNSYLVANIA
Doing business as
ToxGlobal Diagnostics
Practice address
1430 5TH St Apt 505
Santa Monica, CA 90401-4421
Phone
(215) 779-0805
NPI assigned
May 2, 2020
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Dr. Augustine Agyekum, PHD TOXICOLOGYNPI 1679271670
Title
Medical Director
Phone
(215) 779-0805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1430 5TH St Apt 505
Santa Monica, CA 90401-4421

Mailing address

1430 5TH St Apt 505
Santa Monica, CA 90401-4421
Phone (215) 779-0805

Other names 1

  • ToxGlobal Diagnostics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.toxglobal.com Health Information Exchange (HIE)
CONNECT URL www.toxglobal.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120001939 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3678986510 Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

401 Wilshire Blvd
Santa Monica, CA 90401
Phone (877) 225-0316

Practitioners & affiliated clinicians

Practitioners 5

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": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1710508585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 5TH ST APT 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904014421",
            "telephone_number": "215-779-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 5TH ST APT 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904014421",
            "telephone_number": "215-779-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXICITY ASSESSORS GLOBAL OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "AGYEKUM",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-779-0805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD TOXICOLOGY"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.toxglobal.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1430 5th St Apt 505",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904014421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.toxglobal.com",
            "affiliation": "N",
            "address_1": "1430 5th St Apt 505",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904014421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ToxGlobal Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ToxGlobal Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2023; 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.