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SAINT JOHN'S HEALTH CLINIC NPI 1336438902


NPI Information

NPI: 1336438902
Provider Name: SAINT JOHN'S HEALTH CLINIC

Doing Business As: PROVIDENCE SAINT JOHN'S HEALTH CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8754
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SAINT JOHN'S HEALTH CLINIC is a specialist in Santa Monica, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAINT JOHN'S HEALTH CLINIC NPI is 1336438902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Saint John's Health Clinic.

The provider's business location address is:

2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-303
Phone: (310) 829-8754
Fax: (310) 829-8062

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG70184CALIFORNIANo
2174400000XSpecialistA76881CALIFORNIANo
3174400000XSpecialistA76707CALIFORNIANo
4174400000XSpecialistA81646CALIFORNIANo
5174400000XSpecialistA108734CALIFORNIANo
6174400000XSpecialistG27424CALIFORNIANo
7174400000XSpecialistA102707CALIFORNIANo
8174400000XSpecialistG34311CALIFORNIANo
9174400000XSpecialistG31595CALIFORNIAYes
10174400000XSpecialistA74690CALIFORNIANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.