Bnha Health Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BNHA HEALTH GROUP INC

Practice address

1301 20TH St
Ste 120
Santa Monica, CA 90404-2094

Phone

(310) 453-6553

Fax

(310) 828-5645

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Nilesh Kotadiya

Title

Cfo/Director

Phone

(310) 453-6553

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SAINT JOHNS PLAZA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1740264191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "STE 120",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042094",
            "telephone_number": "310-453-6553",
            "fax_number": "310-828-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "STE 120",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042094",
            "telephone_number": "310-453-6553",
            "fax_number": "310-828-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNHA HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "KOTADIYA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "CFO/DIRECTOR",
        "authorized_official_telephone_number": "310-453-6553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY BOP LICENSE",
            "identifier": "PHY57666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT JOHNS PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Blum
• Doron Blumenfeld, MD
• Susan Normandy Blumenthal, P.T.
• Bree Blumstein, N.P.
• Nelly Rico Blustajn, LMFT
• Peter D Boasberg, MD
• Bobak Morshed Dental PC
• Kristina Boccardo, M.S., CCC-SLP
• Ashley Bocek, MS, RD, CNSC
• Eugene D Bock, DDS

• Community/Retail Pharmacy in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.