Santa Monica Bay Area Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SANTA MONICA BAY AREA PHYSICIANS

Practice address

4560 Admiralty Way
100
Marina del Rey, CA 90292-5423

Phone

(310) 827-3700

Fax

(310) 578-5379

NPI assigned

Jun 17, 2006

Organization subpart

Yes

Parent organization

SANTA MONICA BAY AREA PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Bernard J Katz, MD

Title

Chief Executive Officer

Phone

(310) 417-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PLAZA MARINA WALK0IN URGENT CARE Doing business as

Part of

Santa Monica Bay Phys

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1730124462",
    "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": "310-417-5901",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-827-3700",
            "fax_number": "310-578-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-417-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LOCATION PTAN NUMBER",
            "identifier": "W14560F",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA MARINA WALK0IN URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shauna Joyce Samuel
• Henry Sanchez
• Helen Marie Sanderson, D.D.S.
• Sandra Dawson, Ma, MFT, Marriage & Family Counseling, Apc
• Baradwaj Simha Sankar, LAC
• Lizeth Santoyo
• Sarah S. Miller MD, Incorporated
• Jesi Sasaki, PSY.D.
• Karin Sasaki
• Michael Sautter, MPT

• Emergency Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.