NPIMap

Organization Active NPI

Santa Monica Bay Physicians

  • Clinical Medical Laboratory
  • Santa Monica, CA
National Provider Identifier
1922318062
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SANTA MONICA BAY PHYSICIANS
Practice address
2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone
(310) 828-4530
Fax
(310) 453-4613
NPI assigned
Oct 7, 2010
Organization subpart
Yes
Parent organization
SANTA MONICA BAY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Bernard J Katz, M.D.
Title
Co-Ceo
Phone
(310) 417-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2424 Wilshire Blvd
Santa Monica, CA 90403-5806

Mailing address

6029 Bristol Pkwy
Suite 100
Culver City, CA 90230-6643
Phone (310) 417-5900

National Provider Directory

National Provider Directory
Tax ID family
Santa Monica Bay Phys12 organizations share this tax ID, including this one
Part of
Santa Monica Bay Phys

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1922318062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BRISTOL PKWY",
            "address_2": "SUITE 100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306643",
            "telephone_number": "310-417-5900",
            "fax_number": "310-410-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035806",
            "telephone_number": "310-828-4530",
            "fax_number": "310-453-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA BAY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA MONICA BAY PHYSICIANS",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "310-417-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "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 Oct 7, 2010; 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.