Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oceanside Medical Group, a Medical Corporation

Organization Psychiatry Physician · NPI 1861770513

Oceanside Medical Group, a Medical Corporation is a Psychiatry Physician in Santa Monica, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2623
Phone: (310) 993-4103
Fax: (805) 494-8385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Geriatric Psychiatry Physician Taxonomy 2084P0805X

Record details

NPI number1861770513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gadson Johnson — President · (310) 993-4103
NPI enumeratedJuly 29, 2011
Last updated in NPPESJuly 29, 2011
Mailing address701 Santa Monica Blvd, Suite 230, Santa Monica, CA 90401-2623

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