Janet Medenwald (NPI# 1770664286, PAC ID# 8123189479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1770664286 |
| PAC ID by PECOS | 8123189479 |
| Professional Enrollment ID | I20081205000279 |
| Full Name | Janet Medenwald |
| Organization Legal Name | STEP UP ON SECOND STREET, INC. |
| Address |
1328 2nd St Santa Monica CA 90401-1122 |
| Phone Number | 3103946889 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2264568112 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1328 2nd St, Santa Monica, CA 90401-1122 | 3103946889 | STEP UP ON SECOND STREET, INC. |
| Organization Legal Name | STEP UP ON SECOND STREET, INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Mccurdy | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Carlotta V Freeman | Psychiatry | Step Up On Second Street, Inc. | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3314 |
| Gustavo E Ruiz | Psychiatry | Step Up On Second Street, Inc. | 6762 Lexington Ave, Suite A, Los Angeles, CA 90038-1217 |
| Dana L Harris | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Sanaz Parsa | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Clifford Roberts | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Jarrad Malamed | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Igor V Hunkoff | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| John A Jimenez | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Mary E Leventhal | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Street Address |
1328 2ND ST |
| City | SANTA MONICA |
| State | CA |
| Zip | 90401-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Mccurdy | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Dana L Harris | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Sanaz Parsa | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Clifford Roberts | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Jarrad Malamed | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Igor V Hunkoff | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| John A Jimenez | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Mary E Leventhal | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey L Drapeau D Amato | Physician Assistant | Lauren L Reager A California Medical Corporation | 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90401-0001 |
| Lisa M Masterson | Obstetrics/gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | |
| Pamela H Ramer | Chiropractic | Ramer Santa Monica Chiropractic Clinic Inc | 201 Wilshire Blvd, A35 Santa Monica Chiropractic Clinic, Santa Monica, CA 90401-1216 |
| Mark Weintraub | Optometry | 1355 4th St, Santa Monica, CA 90401-1301 | |
| Shahrokh Dayyani | Optometry | 322 Wilshire Blvd, Santa Monica, CA 90401-1312 | |
| Robert Forster | Physical Therapy | Forster Physical Therapy Inc | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 |
| Rachel Rose M Suson | Physical Therapy | Forster Physical Therapy Inc | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 |
| Melissa R Torres | Physical Therapy | Forster Physical Therapy Inc | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 |
| Ronald J Berry | Physical Therapy | Forster Physical Therapy Inc | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 |
| Valerie M Susman | Psychologist, Clinical | 530 Wilshire Blvd, Suite 306, Santa Monica, CA 90401-1426 | |
| Find all physicians in zip 90401 | |||
| City | SANTA MONICA |
| Zip Code | 90401 |
| Specialty | PSYCHIATRY |
| City + Specialty | SANTA MONICA + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.