Pacific Integrative Medical Group Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PACIFIC INTEGRATIVE MEDICAL GROUP INC

Practice address

2232 Santa Monica Blvd # 101
Santa Monica, CA 90404-2312

Phone

(310) 393-2225

Fax

(310) 393-3321

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Steven Anatol Vasilev, MDNPI 1407915150

Title

Program Spare Holder - VP

Phone

(310) 393-2225

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Steven A. Vasilev, MD

  • Gynecologic Oncology Physician
  • Santa Monica, CA
  • NPI 1407915150
  NPD (past) Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1831707199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 SANTA MONICA BLVD # 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042312",
            "telephone_number": "310-393-2225",
            "fax_number": "310-393-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 SANTA MONICA BLVD # 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042312",
            "telephone_number": "310-393-2225",
            "fax_number": "310-393-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INTEGRATIVE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "VASILEV",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANATOL",
        "authorized_official_title_or_position": "PROGRAM SPARE HOLDER - VP",
        "authorized_official_telephone_number": "310-393-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Hospitalist PC
• Pacific Coast Plastic Surgery Center, Inc
• Pacific Coast Women'S Center
• Pacific Heart Institute
• Pacific Integrative Medical Center, Inc
• Pacific Marriage & Family Therapy Network, a Professional Corporation
• Pacific Medical and Nephrology Associates Inc.
• Pacific Ocean Pediatrics
• Pacific Orthodontics, LLC
• Pacific Palisades Surgery Center and Medical Group Inc

• Physical Medicine & Rehabilitation Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.