Active NPI
Alex Elliott
- Case Manager/Care Coordinator
- Santa Monica, CA
National Provider Identifier
1740623149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 503 Olympic Blvd
Santa Monica, CA 90401-3311 - Phone
- (310) 450-4050
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
503 Olympic Blvd
Santa Monica, CA 90401-3311
Mailing address
1453 16TH St
Santa Monica, CA 90404-2715
Phone (310) 264-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1740623149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 16TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042715",
"telephone_number": "310-264-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 OLYMPIC BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904013311",
"telephone_number": "310-450-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.