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Psychedelic Medical Associates PC

Addiction Medicine (Internal Medicine) Physician in Santa Monica, CA · enumerated 2023 · authorized official Keith Heinzerling, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588341689

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Registry record

Entity type Organization (Type 2)
Legal business name Psychedelic Medical Associates PC
Practice address 1247 7th St Ste 300, Santa Monica, CA, 90401
Phone (310) 393-7129
Fax (310) 564-7839
Enumeration date Jun 29, 2023
Last updated in NPPES Jun 29, 2023

Taxonomy & classification

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary
207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Keith Heinzerling
Title Director
Phone (310) 393-7129

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-06-29. Verify at npiregistry.cms.hhs.gov.
Where is Psychedelic Medical Associates PC located?
The practice location on file with NPPES is in Santa Monica, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-29.