Organization Active NPI

Santa Monica Wellness Center Corp

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1821204868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SANTA MONICA WELLNESS CENTER CORP
Practice address
1137 Second St
Ste 116
Santa Monica, CA 90403-5074
Phone
(310) 451-7170
Fax
(310) 451-4044
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Fitzgerald, LAC
Title
Owner President
Phone
(310) 451-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1137 Second St
Ste 116
Santa Monica, CA 90403-5074

Mailing address

1137 Second St
Ste 116
Santa Monica, CA 90403-5074
Phone (310) 451-7170

Other names 1

  • Santa Monica Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

1137 2nd St
Ste 116
Santa Monica, CA 90403
Phone (310) 451-7170

Practitioners & affiliated clinicians

Practitioners 2

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821204868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 SECOND ST",
            "address_2": "STE 116",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035074",
            "telephone_number": "310-451-7170",
            "fax_number": "310-451-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 SECOND ST",
            "address_2": "STE 116",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035074",
            "telephone_number": "310-451-7170",
            "fax_number": "310-451-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-451-7170",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.