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

Providence Saint Johns Medical Foundation

Organization Specialist · NPI 1770093734

Providence Saint Johns Medical Foundation is a Specialist in Santa Monica, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4

Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 582-7312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1770093734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Saint John'S Physician Partners
NPI enumeratedOctober 4, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001-3029, Pasadena, CA 91110-3029

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