Sandra Fallon M.D., Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A46060 Issued in CA

Legal business name

SANDRA FALLON M.D., INC.

Practice address

2020 Santa Monica Blvd
Suite 580
Santa Monica, CA 90404-2023

Phone

(310) 453-4455

Fax

(310) 453-8833

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Philomena Fallon, M.D.NPI 1801947312

Title

President

Phone

(310) 453-4455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Philomena Fallon, M.D.

  • Cardiovascular Disease Physician
  • Santa Monica, CA
  • NPI 1801947312
  Medicare reassignment Authorized official
• Alan E. Clark, PSY.D.

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1841206109
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1982730529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD",
            "address_2": "SUITE 580",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042023",
            "telephone_number": "310-453-4455",
            "fax_number": "310-453-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD",
            "address_2": "SUITE 580",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042023",
            "telephone_number": "310-453-4455",
            "fax_number": "310-453-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA FALLON M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PHILOMENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A46060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Sanchez
• Daniel Sand, M.D.
• Justin Ross Sandberg, D.P.T.
• Troy Knapik Sanders
• Lara C. Sando, PHD
• Sanhu House LLC
• Claudia Patricia Sanmiguel, M.D.
• Sanny K Chan, MD, PHD, Inc
• Sant P Chawla M D Inc (Cancer Center of Southern California)
• Santa Monica Acupuncture Center, Inc

• Cardiovascular Disease Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.