Individual provider Active NPI

Jaime Macone, NP

  • Family Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1710559067
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017771 Issued in CA
Practice address
2811 Wilshire Blvd Ste 810
Santa Monica, CA 90403-4812
Phone
(310) 393-0739
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017771 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 810
Santa Monica, CA 90403-4812

Mailing address

2811 Wilshire Blvd Ste 810
Santa Monica, CA 90403-4812
Phone (310) 393-0739

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126003123 CA Practitioner - Nurse Practitioner 9739550856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017771CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin L. Alpert, M.D., Inc. CurrentSince Nov 16, 2022 Accepting new patients

Locations

2811 Wilshire Blvd
Ste 810
Santa Monica, CA 90403
Phone (310) 393-0739

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1710559067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 810",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034812",
            "telephone_number": "310-393-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 810",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034812",
            "telephone_number": "310-393-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACONE",
        "first_name": "JAIME",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.