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

Timothy S Kristedja, MD

Individual provider Hematology & Oncology Physician · NPI 1881897494

Timothy S Kristedja, MD is a Hematology/Oncology in Santa Monica, California. Qualified in 2006, 20 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Santa Monica Blvd Ste 560W
Santa Monica, CA 90404-2182
Phone: (310) 453-5654
Fax: (310) 453-6885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2021 Santa Monica Blvd Ste 400e, Santa Monica, CA 90404-2103 — (310) 453-5654

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence A108522 (CA)

Record details

NPI number1881897494
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2007
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Santa Monica