Walcharee C Mahamitra Family Practice
2121 Santa Monica Blvd, Santa Monica, CA 90404-2303


Walcharee C Mahamitra is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1578599791. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6305944778. The medical credential is DO. The primary specialty is FAMILY PRACTICE. The organization is SAINT JOHN'S HEALTH CLINIC. The address is 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303. The zip code is 90404.


Walcharee C Mahamitra · 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303

Nation Provider ID 1578599791
PAC ID by PECOS 6305944778
Professional Enrollment ID I20070607000755
Last Name MAHAMITRA
First Name WALCHAREE
Middle Name C
Gender F
Credential DO
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2001
Primary Specialty FAMILY PRACTICE
Primary Specialty SAINT JOHN'S HEALTH CLINIC
Phone Number 3102812024
Group Practice PAC ID 6800060849
Number of Group Practice Members 65
Address 2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
Claims Based Hospital Affiliation Claim Control Number (CCN): 050290
Legal Business Name: PROVIDENCE SAINT JOHN'S HEALTH CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Saint John's Health Clinic · Medicare Physician

Name Address Specialty
Nicole Weinberg 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Jennifer Chin 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 FAMILY PRACTICE
Katy Setoodeh 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 RHEUMATOLOGY
Karen Hsu Patterson 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 NURSE PRACTITIONER
Orrin Troum 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 RHEUMATOLOGY
Dominique Kalil 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Wakana Saeki 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 FAMILY PRACTICE
Elliot Felman 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 GENERAL PRACTICE
Maryam Farazha 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Timothy Kristedja 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 HEMATOLOGY/ONCOLOGY
Jason Tarpley 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 NEUROLOGY
Jane Spiegel 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Robert Mckenna 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 THORACIC SURGERY
Lauren Cadish 1821 Wilshire Blvd, Santa Monica, CA 90403-5679 OBSTETRICS/GYNECOLOGY
Brian Madden 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 FAMILY PRACTICE
Judy Truong 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Hossein Pirastehfar 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Gina White 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 NURSE PRACTITIONER
Elizabeth Dering 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 NURSE PRACTITIONER
Diana Mulherin-taylor 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Nancy Tyre 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Ann Ryan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Martin Alpert 1304 15th St, Santa Monica, CA 90404-1811 FAMILY PRACTICE
Terence Hammer 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Grace Tassa 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Michelle Hoh 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
James Murray 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Ardis Moe 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Daina Danovitch 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Theodore Hak 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Michelle Bholat 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Timothy Weiss 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Benjamin Gilmore 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Jill Wei 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Patrick Dowling 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Raouf Hallis 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
David Cutler 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Jennifer Timmons 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Denise Sur 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Brent Michael 2001 Santa Monica Blvd, Santa Monica, CA 90404-2110 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Jean Gima 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NURSE PRACTITIONER
Nicole Bowlin 1714 17th St, Santa Monica, CA 90404-4410 PHYSICAL THERAPY
Risa Hoffman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Michael Albertson 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Caroline Close 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Stanley Korenman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Tina Kapadia 1250 16th St, Santa Monica, CA 90404-1249 HOSPITALIST
Jason Napolitano 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Mark Wallen 1260 15th St, Santa Monica, CA 90404-1145 PODIATRY
Mariya Svilik 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Bijan Navidi 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
Alireza Sedarat 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Thomas Mattimore 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Kristofer Jones 1250 16th St, Santa Monica, CA 90404-1249 ORTHOPEDIC SURGERY
Deborah Wong 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Lin Chang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Edward Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Rabindra Watson 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Jesse Currier 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Yelena Badalova 2222 Santa Monica Blvd, Santa Monica, CA 90404-2306 GENERAL PRACTICE