OrganizationSanta Monica Bay Area Physicians(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1260 15th St, 1501, Santa Monica, CA 90404-1135(310) 656-1700(310) 417-5901PECOS EnrollmentBased on the most recent information from CMS, provider Santa Monica Bay Area Physicians does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1013951391Provider TypeOrganizationFull NameSanta Monica Bay Area PhysiciansOther Name<Unavail>SubpartYesEnumeration Date6/16/2006Last Updated5/29/2008Contact InformationPractice LocationPractice Address1260 15th St, 1501, Santa Monica, CA 90404-1135Phone(310) 656-1700Fax(310) 458-1061Mailing LocationMailing Address6029 Bristol Pkwy, 100, Culver City, CA 90230-6643Phone(310) 417-5901Fax(310) 410-1001Authorized OfficialNameKatz, Bernard (Chief Executive Officer)Phone(310) 417-5900Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDW14560CDescriptionOtherIssuerMEDICARE LOCATION PTANCalifornia