NPIMap

Organization Active NPI

Santa Monica Bay Area Physicians

  • Radiology Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1801831490
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SANTA MONICA BAY AREA PHYSICIANS
Doing business as
AMERICAN WELLNESS IMAGING
Practice address
524 Colorado Ave
Santa Monica, CA 90401-2436
Phone
(310) 260-2917
Fax
(310) 587-9236
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Bernard J Katz, MD
Title
Co Chief Executive Officer
Phone
(310) 417-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

524 Colorado Ave
Santa Monica, CA 90401-2436

Mailing address

6029 Bristol Pkwy
100
Culver City, CA 90230-6643
Phone (310) 417-5900

Other identifiers 1

IdentifierTypeStateIssuer
TD076OtherCAPTAN

Other names 1

  • AMERICAN WELLNESS IMAGING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1801831490",
    "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": "310-417-5900",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012436",
            "telephone_number": "310-260-2917",
            "fax_number": "310-587-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA BAY AREA PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-417-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TD076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN WELLNESS IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 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.