1. Home
  2. Directory
  3. California
  4. Santa Monica
  5. General Acute Care Hospital
  6. NPI Profile

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: August 09, 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
Open in Google Maps ↗

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.

MINA RIM KANG MD
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 453-1324
DELPHINE J. LEE MD PHD INC
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 449-5265
ROGER JOSEPH MAH CORPORATION
Anesthesiology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511
DR. SEAN DOOLEY M.D.
Internal Medicine (Critical Care Medicine)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (323) 829-8745
DANIEL ARTENSTEIN
Student in an Organized Health Care Education/Training Program
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7137
JUDY DANG TRUONG PA
Physician Assistant
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8265
DR. JOSH FAGUET M.D., PH.D.
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511
CEP AMERICA - CALIFORNIA
Emergency Medicine
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511

Frequently 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.

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 15 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.