Active NPI
Nily Osman, MD
- Medical Specialty Clinic/Center
- Santa Monica, CA
National Provider Identifier
1831944834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A195420
- Practice address
- 2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805 - Phone
- (310) 453-6005
- Fax
- (310) 829-1389
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A195420 | CA | Primary |
Addresses
Primary practice location
2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805
Mailing address
2811 Wilshire Blvd Ste 790
Santa Monica, CA 90403-4805
Phone (310) 453-6005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A195420 | CA | MD | Medical Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1831944834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 790",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034805",
"telephone_number": "310-453-6005",
"fax_number": "310-829-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 790",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034805",
"telephone_number": "310-453-6005",
"fax_number": "310-829-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "NILY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A195420",
"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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.