Providence Saint Johns Medical Foundation
NPI 1518438712ActiveOrganization· Family Medicine· Santa Monica, CA
Family Medicine in Santa Monica, California, registered in NPPES in December 2018. The authorized official on file is Donald Wayne Anderson, Assistant Secretary For Enrollment.
Overview
| NPI | 1518438712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2018 |
| Last updated in NPPES | Feb 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| General Practice | 208D00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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