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PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION NPI 1518438712


NPI Information

NPI: 1518438712
Provider Name: PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

Doing Business As: ONE MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1065760

Address:
2020 SANTA MONICA BLVD STE 300
SANTA MONICA, CA
ZIP 90404
Phone: (310) 582-7312
Get Directions

PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION is a family medicine in Santa Monica, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION NPI is 1518438712. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As One Medical.

The provider's business location address is:

2020 SANTA MONICA BLVD STE 300
SANTA MONICA, CA
ZIP 90404-013
Phone: (310) 582-7312

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

The CLIA number assigned to this NPI record is 05D1065760 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/16/2018 and was last updated on 2/7/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeNo
3261Q00000XClinic/CenterNo
4207Q00000XFamily MedicineYes

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

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