Pacific Palisades Medical Group Inc.
NPI 1215037049 · Family Medicine Physician · Pacific Palisades, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Palisades Medical Group Inc. is a Family Medicine Physician organization in Pacific Palisades, CA (NPI 1215037049).
Provider details
- NPI number
- 1215037049
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Johnson, President(310) 459-7736
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Frequently asked questions
- What is Pacific Palisades Medical Group Inc.'s NPI number?
- Pacific Palisades Medical Group Inc.'s National Provider Identifier (NPI) is 1215037049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Palisades Medical Group Inc.?
- Pacific Palisades Medical Group Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Palisades Medical Group Inc. located?
- Pacific Palisades Medical Group Inc.'s practice location on file with NPPES is 15200 W Sunset Blvd, Pacific Palisades, CA 90272-3619.
- What is Pacific Palisades Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pacific Palisades Medical Group Inc. is (310) 459-7736.
- Does Pacific Palisades Medical Group Inc. accept Medicare?
- Pacific Palisades Medical Group Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Palisades Medical Group Inc.?
- The authorized official listed on Pacific Palisades Medical Group Inc.'s NPPES record is Richard Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Palisades Medical Group Inc.'s NPI active?
- Yes — Pacific Palisades Medical Group Inc.'s NPI (1215037049) is active in the NPPES registry as of the last update on 2021-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.