PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
NPI 1770093734
Specialist in Santa Monica, CA

NPI Status: Active since October 04, 2017

Contact Information

2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404
Phone: (310) 582-7312

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  • Organization
  • Specialist

About PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Providence Saint Johns Medical Foundation, a provider established in Santa Monica, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770093734 assigned on October 2017. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Saint Johns Medical Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Donald W. Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1770093734
Provider Legal Name
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2121 SANTA MONICA BLVD SANTA MONICA, CA 90404
Location Phone
(310) 582-7312
Mailing Address
PO BOX 31001-3029 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2017
Last Update Date
05-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD W. ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770093734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 0 + 9 + 6 + 7 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1770093734.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
2121 SANTA MONICA BLVD, EMERGENCY DEPT
SANTA MONICA, CA 90404
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD, DEPT OF NUTRITION & DIABETES EDUCATION
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Anesthesiology
2121 SANTA MONICA BLVD, C/O ANESTHESIA DEPARTMENT ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD, ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
2121 SANTA MONICA BLVD, PROVIDENCE ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Pathology (Anatomic Pathology)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Long Term Care Hospital
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Clinic/Center (Genetics)
2121 SANTA MONICA BLVD, MARGIE PETERSON BREAST CENTER
SANTA MONICA, CA 90404
Clinic/Center (Genetics)
2121 SANTA MONICA BLVD, MARGIE PETERSON BREAST CENTER
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD, ATTN: FOOD & NUTRITION
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Nurse Practitioner
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery (Surgical Oncology)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Anesthesiology
2121 SANTA MONICA BLVD, DEPARTMENT OF ANESTHESIOLOGY
SANTA MONICA, CA 90404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770093734, enumerated as an "organization" on October 04, 2017.

The provider is located at 2121 SANTA MONICA BLVD SANTA MONICA, CA 90404 and the phone number is (310) 582-7312.

Specialist with taxonomy code 174400000X.