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PROVIDENCE SAINT JOHN'S HEALTH CENTER
NPI 1124026273
General Acute Care Hospital in Santa Monica, CA

Active since July 12, 2005CLIA Certified · 3 labs
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-5511(310) 315-6135 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1124026273
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROVIDENCE SAINT JOHN'S HEALTH CENTER
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address1328 22nd StSanta Monica, CA 90404-2032 · (310) 829-5511 · Fax (310) 315-6135
Phone(310) 829-5511
Fax(310) 315-6135
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 12, 2005
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1124026273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 930000158
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2121 SANTA MONICA BLVD, Santa Monica, CA 90404
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Other Identifiers 2

MedicaidZZT30290FCA
MedicaidZZT40290FCA

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, CA
Active · expires Apr 11, 2027
CLIA Number05D0550281
Laboratory TypeHospital
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorDr. Ronnie Abraham
Laboratory Phone(310) 829-5511
Laboratory LocationProvidence Saint John's Health Center/ Pulmonary Lab2121 Santa Monica Blvd, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1065760

Providence Saint John's Health Center · Santa Monica, CA
Active · expires Mar 7, 2027
CLIA Number05D1065760
Laboratory TypeHospital
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDavid L. Krasne MD
Laboratory Phone(310) 829-8101
Laboratory LocationProvidence Saint John's Health Center2121 Santa Monica Blvd Clinical Laboratory, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 05D0059345

Providence Saint John's Health Center · Santa Monica, CA
Active · expires Feb 27, 2027
CLIA Number05D0059345
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. David L. Krasne
Laboratory Phone(310) 829-8101
Laboratory LocationProvidence Saint John's Health CenterClinical Laboratory - 2121 Santa Monica Blvd, Santa Monica, CA 90404
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISAAC BASH MD
Emergency Medicine
2121 SANTA MONICA BLVD, EMERGENCY DEPT
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
DR. DELPHINE JUIHOA LEE MD, PHD
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 449-5265
SANDRA ANDREWS RD, CDE
Dietitian, Registered
2121 SANTA MONICA BLVD, DEPT OF NUTRITION & DIABETES EDUCATION
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8077
PHYSICIAN ASSISTANT SURGICAL SPECIALISTS, INC.
Physician Assistant (Surgical)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 937-3919
DELPHINE J. LEE MD PHD INC
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 449-5265
MAGGIE DINOME, M.D.
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7107
DR. SONJA NICOLE LOO M.D.
Anesthesiology
2121 SANTA MONICA BLVD, C/O ANESTHESIA DEPARTMENT ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Los Angeles County (503) 468-6333
BITA AZIZI RD
Dietitian, Registered
2121 SANTA MONICA BLVD, ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511

Frequently Asked Questions

What is PROVIDENCE SAINT JOHN'S HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1124026273, enumerated as an "organization" on July 12, 2005.

Where is the provider located?

The provider is located at 2121 SANTA MONICA BLVD SANTA MONICA, CA 90404 and the phone number is (310) 829-5511.

What is the provider's specialty?

General Acute Care Hospital with taxonomy code 282N00000X.

What insurance does PROVIDENCE SAINT JOHN'S HEALTH CENTER accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.