DR. JOHN PATRICK WHELAN MD PHD NPI 1083681258

NPI Information

NPI: 1083681258
Provider Name: DR. JOHN PATRICK WHELAN, MD PHD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

Organization: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

PECOS Registration: Yes

Address:
1250 16TH ST # C2304
SANTA MONICA, CA
ZIP 90404
Phone: (310) 319-4698
Get Directions

DR. John Patrick Whelan, MD PHD is a pediatric rheumatology pediatrics in Santa Monica, CA with 31 years of experience. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. John Patrick Whelan, MD PHD NPI is 1083681258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1250 16TH ST # C2304
SANTA MONICA, CA
ZIP 90404-249
Phone: (310) 319-4698
Fax: (310) 319-4908

The NPI 1083681258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 11/12/2019.

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	207R00000X	Internal Medicine		A53446	CALIFORNIA	No
2	208M00000X	Hospitalist		A53446	CALIFORNIA	No
3	2080P0216X	Pediatrics	Pediatric Rheumatology	A53446	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	150043	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	3204120	MEDICAID	MASSACHUSETTS
3	J21870	OTHER	MASSACHUSETTS	BCBS MA

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: 11/14/2023

NPI Synchronization or Removal

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