Timothy S Kristedja Hematology/oncology
2121 Santa Monica Blvd, Santa Monica, CA 90404-2303


Timothy S Kristedja 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 1881897494. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0840447942. The primary specialty is HEMATOLOGY/ONCOLOGY. 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.


Timothy S Kristedja · 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303

Nation Provider ID 1881897494
PAC ID by PECOS 0840447942
Professional Enrollment ID I20120824000220
Last Name KRISTEDJA
First Name TIMOTHY
Middle Name S
Gender M
Medical School Name OTHER
Graduation Year 2006
Primary Specialty HEMATOLOGY/ONCOLOGY
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
Claims Based Hospital Affiliation Claim Control Number (CCN): 050376
Legal Business Name: LAC/HARBOR-UCLA MED CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 050740
Legal Business Name: MARINA DEL REY HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y
Participated in Million Hearts Y

Saint John's Health Clinic · Medicare Physician

Name Address Specialty
George Wu 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Brian Madden 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 FAMILY PRACTICE
David Stein 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Dominique Kalil 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Osita Onugha 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 THORACIC SURGERY
Glenn Gorlitsky 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Lauren Cadish 1821 Wilshire Blvd, Santa Monica, CA 90403-5679 OBSTETRICS/GYNECOLOGY
Jennifer Chin 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 FAMILY PRACTICE
Niceto Lopez 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
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
Elizabeth Dering 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 NURSE PRACTITIONER
Walcharee Mahamitra 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Judy Truong 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 PHYSICIAN ASSISTANT
Karen Hsu Patterson 2143 S Sepulveda Blvd, Los Angeles, CA 90025-5733 NURSE PRACTITIONER
Karla Iacampo 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 OBSTETRICS/GYNECOLOGY
Mina Kang 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
June Spilburg 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 NURSE PRACTITIONER
Gina White 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 NURSE PRACTITIONER
Maryam Farazha 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE

Zip 90404 · Hematology/oncology · Medicare Physician

Name Address Specialty
Bartosz Chmielowski 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Lawrence Piro 2001 Santa Monica Blvd, Santa Monica, CA 90404-2102 HEMATOLOGY/ONCOLOGY
Yi-kong Keung 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Parvin Peddi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Mahshid Mosallaei-benjamin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
John Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Marilou Terpenning 2021 Santa Monica Blvd, Santa Monica, CA 90404-2103 HEMATOLOGY/ONCOLOGY
Kelly Mccann 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Alexander Black 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Evangelia Kirimis 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Christopher Seet 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Rena Callahan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
John Chute 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Deborah Wong 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Gary Schiller 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Andrew Hendifar 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 HEMATOLOGY/ONCOLOGY
Zev Wainberg 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Siwen Hu-lieskovan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Maurice Berkowitz 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Antoni Ribas 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY

Zip 90404 · Medicare Physician

Name Address Specialty
Grace Huang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GENERAL PRACTICE
Niloofar Nobakht Haghighi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Nirav Kamdar 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Alexandra Lajoie 2001 Santa Monica Blvd, Santa Monica, CA 90404-2172 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Ravi Aysola 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Vikram Kamdar 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Geraldine Navarro 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 RHEUMATOLOGY
Mary Keyes 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Janine Ajalat 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
Piyush Nayyar 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Eliot Siegel 1301 20th St, Santa Monica, CA 90404-2052 OPHTHALMOLOGY
Scott Soluk 2812 Santa Monica Blvd, Santa Monica, CA 90404-2432 CHIROPRACTIC
Mary Farid 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GASTROENTEROLOGY
Brent Michael 2001 Santa Monica Blvd, Santa Monica, CA 90404-2110 FAMILY PRACTICE
Hawkin Woo 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Martin Quan 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Pamela Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Reece Radford Doughty 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Christine Darwin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Shawn Chaikin 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE