Active NPI
Eric Michael Wexler
- Psychiatry Physician
- Santa Monica, CA
National Provider Identifier
1932215654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A69685
- Practice address
- 2730 Wilshire Blvd
Suite 325
Santa Monica, CA 90403-4743 - Phone
- (310) 744-5102
- Fax
- (310) 919-1919
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | A69685 | CA | |
| Geriatric Psychiatry Physician | 2084P0805X | A69685 | CA | |
| Psychiatry Physician | 2084P0800X | A69685 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
Suite 325
Santa Monica, CA 90403-4743
Mailing address
2730 Wilshire Blvd
Suite 325
Santa Monica, CA 90403-4743
Phone (310) 744-5102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A696850 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 18, 2019 through Jan 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69685 | CA | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucidity Behavioral Health LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1538813001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1932215654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 325",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-744-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 325",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-744-5102",
"fax_number": "310-919-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEXLER",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "CA",
"license": "A69685",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "A69685",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A69685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A696850",
"state": "CA"
}
],
"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 Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.