Organization Active NPI

Edwin C. Amos, MD, Inc

  • Neurology Physician
  • Santa Monica, CA
National Provider Identifier
1902615156
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EDWIN C. AMOS, MD, INC
Practice address
2021 Santa Monica Blvd Ste 525E
Santa Monica, CA 90404-2162
Phone
(310) 829-2126
Fax
(310) 998-8887
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Dr. Edwin Curtis Amos, MD., INCNPI 1992720379
Title
Physician
Phone
(310) 829-2126

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 525E
Santa Monica, CA 90404-2162

Mailing address

2021 Santa Monica Blvd Ste 525E
Santa Monica, CA 90404-2162
Phone (310) 829-2126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122003342 CA Part B Supplier - Clinic/Group Practice 2062941925 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2021 Santa Monica Blvd
Ste 525E
Santa Monica, CA 90404
Phone (310) 829-2126

Practitioners & affiliated clinicians

Practitioners 3

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1902615156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 525E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042162",
            "telephone_number": "310-829-2126",
            "fax_number": "310-998-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 525E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042162",
            "telephone_number": "310-829-2126",
            "fax_number": "310-998-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN C. AMOS, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-829-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., INC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "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 Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.