Providence Saint Johns Medical Foundation
NPI 1770093734 · Specialist · Santa Monica, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Saint Johns Medical Foundation is a Specialist organization in Santa Monica, CA (NPI 1770093734).
Provider details
- NPI number
- 1770093734
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Saint John'S Physician Partners
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Providence Saint Johns Medical Foundation's NPI number?
- Providence Saint Johns Medical Foundation's National Provider Identifier (NPI) is 1770093734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Saint Johns Medical Foundation?
- Providence Saint Johns Medical Foundation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Providence Saint Johns Medical Foundation located?
- Providence Saint Johns Medical Foundation's practice location on file with NPPES is 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303.
- What is Providence Saint Johns Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Providence Saint Johns Medical Foundation is (310) 582-7312.
- Does Providence Saint Johns Medical Foundation accept Medicare?
- Providence Saint Johns Medical Foundation 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 Providence Saint Johns Medical Foundation?
- The authorized official listed on Providence Saint Johns Medical Foundation's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Saint Johns Medical Foundation's NPI active?
- Yes — Providence Saint Johns Medical Foundation's NPI (1770093734) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.