PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
NPI 1770093734
Specialist in Santa Monica, CA
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
Specialties & Licenses 4
Other Names 1
Group Practice 1
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 Johns Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
459Medicare enrollment records show 459 clinicians reassign Medicare billing to Providence Saint Johns Medical Foundation, which bills Medicare for the services they deliver. Of these, 50 practice at this address and 328 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 459Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Johns Medical Foundation's NPI number?
The NPI number for Providence Saint Johns Medical Foundation is 1770093734. It was assigned to this organization in the NPPES registry on October 4, 2017. The provider is doing business as Saint John's Physician Partners.
Where is Providence Saint Johns Medical Foundation located?
Providence Saint Johns Medical Foundation is located at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 582-7312.
What is Providence Saint Johns Medical Foundation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Providence Saint Johns Medical Foundation enrolled in Medicare?
Yes. Providence Saint Johns Medical Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Saint Johns Medical Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 459 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Saint Johns Medical Foundation. 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. The largest specialties are Family Practice (70), Nurse Practitioner (67) and Internal Medicine (54). Of these, 50 practice at this address and 328 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Providence Saint Johns Medical Foundation was last updated on May 6, 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 Johns Medical Foundation · NPI 1770093734
Specialist organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since October 4, 2017.
## Identity
- **NPI:** 1770093734 (Entity type: Organization)
- **Enumerated:** October 4, 2017
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Also known as:** Saint John's Physician Partners (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 2121 SANTA MONICA BLVD, Santa Monica, CA 90404-2303
- **Phone:** (310) 582-7312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 459 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (70), Nurse Practitioner (67), Internal Medicine (54); 50 practice at this address and 328 within 10 miles; [full list](https://npiprofile.com/npi/1770093734/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770093734) · Data from the CMS NPPES public registry.