DR. JOHN PATRICK WHELAN (NPI# 1083681258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083681258 |
| Entity Type | Individual |
| Full Name | DR. JOHN PATRICK WHELAN |
| Credential | MD PHD |
| Practice Address |
1250 16th St # C2304 Santa Monica CA 90404-1249 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103194698 |
| Practice Fax Number | 3103194908 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A53446 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
A53446 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A53446 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 150043 | 01 |
| MA | 3204120 | 05 | |
| MA | BCBS MA | J21870 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 757 Westwood Plz Ste 7501, Los Angeles, CA 900953075 | 3102679643 | 3102673840 |
| 175 Cambridge St Rm 506, Boston, MA 021142743 | 6177269381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669694758 | John Thomas Whelan | Dentist | 2005 S Miller St, Santa Maria, CA 93454-7849 | 2007-05-02 |
| 1932202116 | John W Whelan | Family Medicine | 4205 Ben Franklin Blvd, Durham, NC 27704-2143 | 2006-09-06 |
| 1609866854 | John D Whelan | Psychiatry & Neurology | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2005-10-27 |
| Street Address |
1250 16TH ST # C2304 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081370 | Zerina Hodzic | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-05-23 |
| 1578097192 | Tiara Ong | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-04-20 |
| 1649702200 | Joan Soon Chung | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-31 |
| 1467984260 | Maralee Rachel Kanin | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-30 |
| 1174055388 | Anthony Ryan Tabet | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-28 |
| 1538690870 | Nico Conti | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-27 |
| 1447781968 | Noelle Boctor | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-26 |
| 1376084798 | Audrey Shi | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2017-03-18 |
| 1114376597 | Jessica Finley | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2016-06-07 |
| 1659729820 | Alex Zhornitskiy | Internal Medicine | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2016-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298282 | Diane Elizabeth Brown | Pediatrics | 4650 Sunset Blvd., Los Angeles, CA 90027-6062 | 2006-07-18 |
| 1518413558 | George Lockie | Pediatrics | 100 Holland Gln, Apt 101, Escondido, CA 92026-1354 | 2016-08-30 |
| 1750748224 | Valley Children's Medical Group - Dept of Rheumatology | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-01-28 |
| 1457694382 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1356683031 | Meiqian Ma | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-03-20 |
| 1629356951 | Iris Reyhan | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-08-03 |
| 1598068736 | Sukesh Sukumaran | Pediatrics | 9300 Valley Childrens Pl # Ge10, Madera, CA 93636 | 2010-12-09 |
| 1275858391 | Rebecca Stein Kunder | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2010-03-31 |
| 1720317753 | Ornella J Rullo | Pediatrics | 10833 Le Conte Ave, Mdcc 12-430, Los Angeles, CA 90095-1752 | 2009-12-22 |
| 1760649842 | Andrew Ira Shulman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2008-05-17 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| 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.