Organization Active NPI

Santa Monica Medical Center

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1790922268
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28098 Issued in CA
Legal business name
SANTA MONICA MEDICAL CENTER
Practice address
2400 Broadway
Suite 520
Santa Monica, CA 90404-3030
Phone
(310) 453-8393
Fax
(310) 453-8696
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Ashkan Jalili, D.C.
Title
Owner
Phone
(310) 453-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC28098 CA Primary

Addresses

Primary practice location

2400 Broadway
Suite 520
Santa Monica, CA 90404-3030

Mailing address

2400 Broadway
Suite 520
Santa Monica, CA 90404-3030
Phone (310) 453-8393

National Provider Directory

National Provider Directory

Locations

1600 E Florida Ave
Ste 307
Hemet, CA 92544
Phone (310) 453-8393

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1790922268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BROADWAY",
            "address_2": "SUITE 520",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043030",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADWAY",
            "address_2": "SUITE 520",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043030",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "JALILI",
        "authorized_official_first_name": "ASHKAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-453-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28098",
            "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 17, 2011; 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.