Individual provider Active NPI

Lauren Swerdloff, MD

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1952447609
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67752 Issued in CA
Practice address
1821 Wilshire Blvd
Ste 220
Santa Monica, CA 90403
Phone
(310) 829-5189
Fax
(310) 829-5942
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67752 CA Primary

Addresses

Primary practice location

1821 Wilshire Blvd
Ste 220
Santa Monica, CA 90403

Mailing address

1821 Wilshire Blvd Ste 220
Ste 220
Santa Monica, CA 90403-5627
Phone (310) 829-5189

Other identifiers 3

IdentifierTypeStateIssuer
00G677520MedicaidCA
P00260725DD9262OtherMEDICARE RAILROAD
W19292OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000277 CA Practitioner - Family Practice 2961429782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67752CAMDPharmacist
G67752CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Swerdloff, MD a Medical Professional Corp Family Medicine CurrentSince Feb 1, 2002 Accepting new patients

Locations

11704 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 458-9200

1821 Wilshire Blvd
Ste 220
Santa Monica, CA 90403
Phone (310) 829-5189

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1952447609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 220",
            "address_2": "STE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035627",
            "telephone_number": "310-829-5189",
            "fax_number": "310-829-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "STE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-829-5189",
            "fax_number": "310-829-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERDLOFF",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G677520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00260725DD9262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W19292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.