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

Q: What is Providence Saint Johns Medical Foundation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 04, 2017

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 582-7312 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Feb 4, 2021 (2 updates tracked since 2021).

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About Providence Saint Johns Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION (NPI 1770093734), doing business as Saint John's Physician Partners, is a healthcare organization registered as a specialist in Santa Monica, California and active in the NPI registry since October 2017. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1770093734

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing AddressPo Box 31001-3029Pasadena, CA 91110-3029

Phone(310) 582-7312

Organization SubpartNo

Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateOctober 4, 2017

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1770093734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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Other Names 1

Doing Business AsSaint John's Physician Partners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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