Individual provider Active NPI

Lawrence Dardick, MD

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1740200138
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48334 Issued in CA
Practice address
2001 Santa Monica Blvd
370W
Santa Monica, CA 90404-2102
Phone
(310) 586-9001
Fax
(310) 586-9051
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G48334 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
370W
Santa Monica, CA 90404-2102

Mailing address

6029 Bristol Pkwy
100
Culver City, CA 90230-6643
Phone (310) 417-5901

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000843 CA Practitioner - Family Practice 2769664523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1260 15TH St
Suite 1501
Santa Monica, CA 90404-1150
Phone (310) 656-1701

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48334CAMDGeneral Practice Dentistry
G48334CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2020 Accepting new patients
Saint John Hospital, Inc Past Accepting new patients
Santa Monica Bay Area Physicians Family Medicine Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

881 Alma Real Dr
Ste 214
Pacific Palisades, CA 90272
Phone (310) 459-2363

1260 15th St
Ste 1502
Santa Monica, CA 90404
Phone (310) 656-1701

2424 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 828-4530

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2701 Ocean Park Blvd
Ste 130
Santa Monica, CA 90405
Phone (310) 450-1200

2001 Santa Monica Blvd
Ste 370W
Santa Monica, CA 90404
Phone (310) 586-9001

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: ldardick36393@direct.uclahealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1740200138",
    "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": "2001 SANTA MONICA BLVD",
            "address_2": "370W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-586-9001",
            "fax_number": "310-586-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDICK",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.