NPIMap

Organization Active NPI

St John Medical Associates

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1922248509
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A22944 Issued in CA
Legal business name
ST JOHN MEDICAL ASSOCIATES
Practice address
1155 N Vermont Ave
Suite 200
Los Angeles, CA 90029-1753
Phone
(323) 664-1814
Fax
(323) 663-1723
NPI assigned
Feb 23, 2009
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Thomas M Heric
Title
President
Phone
(323) 664-1814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A22944 CA Primary

Addresses

Primary practice location

1155 N Vermont Ave
Suite 200
Los Angeles, CA 90029-1753

Mailing address

1155 N Vermont Ave
Suite 200
Los Angeles, CA 90029-1753
Phone (323) 664-1814

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1922248509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N VERMONT AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291753",
            "telephone_number": "323-664-1814",
            "fax_number": "323-663-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N VERMONT AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291753",
            "telephone_number": "323-664-1814",
            "fax_number": "323-663-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "HERIC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-664-1814"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A22944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.