Dr. Walcharee Cindy Mahamitra
Family Medicine

Address: 1821 Wilshire Blvd Ste 301, Santa Monica, CA 90403-5679
Phone: 3102216375

Dr. Walcharee Cindy Mahamitra (NPI# 1578599791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578599791
Entity Type Individual
Full Name Dr. Walcharee Cindy Mahamitra
Credential D.O.
Gender Female
Practice Address 1821 Wilshire Blvd Ste 301
Santa Monica
CA 90403-5679
Practice Telephone 3102216375
Practice Fax Number 3108296352
Mailing Address 1821 Wilshire Blvd Ste 301
Santa Monica
CA 90403-5679
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-23
Last Update Date 2019-01-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 20A8998 CA

Physician Overview

NPI 1578599791
PAC ID by PECOS 6305944778
Professional Enrollment ID I20070607000755
Full Name Walcharee C Mahamitra
Organization Legal Name PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
Phone Number 3108286027
Gender F
Credential DO
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2001
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 0840548624
Number of Group Practice Members 141
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050290 PROVIDENCE SAINT JOHN'S HEALTH CENTER

Office Location

Street Address 1821 WILSHIRE BLVD STE 301
City SANTA MONICA
State CA
Zip Code 90403-5679

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376584482 Lily Nourmand Family Medicine 1821 Wilshire Blvd Ste 301, Santa Monica, CA 90403-5679 2006-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477030369 Jennifer Garcia Dentist 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 2018-07-23
1821582883 Kaitlin A. Beetner Dentist 2730 Wilshire Blvd Ste 410, Santa Monica, CA 90403 2018-06-21
1215435847 The Balance Lab Physical Therapy and Fitness Physical Therapist 2924 Wilshire Blvd, Santa Monica, CA 90403 2018-01-29
1306354634 Sea Change Santa Monica, Lp Clinic/Center 1051 Princeton St, Santa Monica, CA 90403 2018-01-22
1114446226 Jafary Foot & Ankle Specialists LLC Podiatrist 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 2017-09-11
1629505805 Sadaf Radnia Pharmacist 3202 Wilshire Blve, Santa Monica, CA 90403 2017-05-18
1023553906 Jory Faermark Speech-Language Pathologist 1158 26th Street, #417, Santa Monica, CA 90403 2016-12-30
1376095042 William Michael Thornton Chiropractor 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 2016-10-28
1801251723 Lisa Lavoie Naturopath 1-935 Euclid St, Santa Monica, CA 90403 2015-12-18
1376915793 Lisa Hanes Marriage & Family Therapist 1150 Yale Street, Suite 2, Santa Monica, CA 90403 2015-10-25
Find all providers in zip 90403

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356803126 Bissonne Moliere Family Medicine 1836 Euclid St Apt C, Santa Monica, CA 90404-7024 2019-04-02
1518438712 Providence Saint Johns Medical Foundation Family Medicine 2020 Santa Monica Blvd Ste 300, Santa Monica, CA 90404-2013 2018-12-16
1316380769 Juan Manuel Cabrales Family Medicine 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 2013-04-15
1730423229 Lawrence M Rosen Family Medicine 305 Alta Ave, Santa Monica, CA 90402-2729 2012-11-21
1295029882 Jenny Jie Bao Family Medicine 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 2011-06-01
1437391554 Amy Gelfand Family Medicine 1027 Princeton St, Santa Monica, CA 90403-4701 2009-04-03
1740426352 Adel E. Salawy Family Medicine 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 2009-01-02
1205081916 Gerald Klaz Family Medicine 50 Village Park Way, Santa Monica, CA 90405 2008-11-21
1942460605 Diane Rhee Kim Family Medicine 1920 Colorado Blvd., Santa Monica, CA 90404 2008-06-16
1023205010 Jimmy C. Huang, D.o. A Professional Corp. Family Medicine 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 2007-10-03
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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