PROVIDENCE SAINT JOHN'S HEALTH CENTER
NPI 1124026273
General Acute Care Hospital in Santa Monica, CA
About Providence Saint John's Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE SAINT JOHN'S HEALTH CENTER (NPI 1124026273) is a healthcare organization registered as a general acute care hospital in Santa Monica, California and active in the NPI registry since July 2005. The organization holds 3 active CLIA laboratory certificates and lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Saint John's Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Providence Saint John's Health Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 05D0550281
Providence Saint John's Health Center/ Pulmonary Lab · Santa Monica, CACertificate for Provider-Performed Microscopy Procedures (PPMP) 05D1065760
Providence Saint John's Health Center · Santa Monica, CACertificate of Accreditation 05D0059345
Providence Saint John's Health Center · Santa Monica, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Providence Saint John's Health Center's NPI number?
The NPI number for Providence Saint John's Health Center is 1124026273. It was assigned to this organization in the NPPES registry on July 12, 2005.
Where is Providence Saint John's Health Center located?
Providence Saint John's Health Center is located at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 829-5511.
What is Providence Saint John's Health Center's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Providence Saint John's Health Center enrolled in Medicare?
Yes. Providence Saint John's Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Saint John's Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Vascular Surgery, reassign their Medicare billing to Providence Saint John's Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Providence Saint John's Health Center hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Providence Saint John's Health Center was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Providence Saint John's Health Center · NPI 1124026273
General Acute Care Hospital organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1124026273 (Entity type: Organization)
- **Enumerated:** July 12, 2005
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENTS
## Practice location
- **Address:** 2121 SANTA MONICA BLVD, Santa Monica, CA 90404-2303
- **Phone:** (310) 829-5511 · **Fax:** (310) 315-6135
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Vascular Surgery) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2025
- **Other identifiers:** Medicaid ZZT30290F (CA); Medicaid ZZT40290F (CA)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124026273) · Data from the CMS NPPES public registry.