Organization Active NPI

Nathalie Maullin, MD a Medical Corporation

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1821512286
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A87351 Issued in CA
Legal business name
NATHALIE MAULLIN, MD A MEDICAL CORPORATION
Practice address
429 Santa Monica Blvd Ste 200
Santa Monica, CA 90401-3408
Phone
(310) 699-9859
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Nathalie Maullin, MDNPI 1770567612
Title
President
Phone
(310) 699-9859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A87351 CA Primary

Addresses

Primary practice location

429 Santa Monica Blvd Ste 200
Santa Monica, CA 90401-3408

Mailing address

938 19TH St Apt 2
Santa Monica, CA 90403-3341
Phone (323) 252-3973

Other practice location 1

315 S Beverly Dr Ste 307
Beverly Hills, CA 90212-4309
Phone (310) 699-9859

National Provider Directory

National Provider Directory

Locations

429 Santa Monica Blvd
Ste 200
Santa Monica, CA 90401
Phone (310) 226-6945

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1821512286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 19TH ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033341",
            "telephone_number": "323-252-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SANTA MONICA BLVD STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013408",
            "telephone_number": "310-699-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Beverly Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124309",
            "country_code": "US",
            "telephone_number": "310-699-9859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATHALIE MAULLIN, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MAULLIN",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-699-9859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A87351",
            "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 Mar 17, 2018; 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.