SANTA MONICA PODIATRY GROUP INC. NPI 1043245525

NPI Information

NPI: 1043245525
Provider Name: SANTA MONICA PODIATRY GROUP, INC.
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1260 15TH ST
SUITE 1014
SANTA MONICA, CA
ZIP 90404
Phone: (310) 451-1618
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SANTA MONICA PODIATRY GROUP, INC. is a primary podiatric medicine podiatrist in Santa Monica, CA. SANTA MONICA PODIATRY GROUP, INC. NPI is 1043245525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1260 15TH ST
SUITE 1014
SANTA MONICA, CA
ZIP 90404-135
Phone: (310) 451-1618

The provider's authorized official is Terry Jay Boykoff .
The authorized official title is President and has the following contact phone number (310) 451-1618.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	E2764	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	CALIFORNIA	EIN
2	WE6504	MEDICARE PIN	CALIFORNIA
3	048	OTHER	CALIFORNIA	NEIC SPECIALTY CODE
4	0207250001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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