SIX IMPOSSIBLE – NPI #1255292405
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

SIX IMPOSSIBLE is an AHC clinic located in SANTA MONICA, CA. NPPES has assigned the NPI number 1255292405 to SIX IMPOSSIBLE on November 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIX IMPOSSIBLE below.

NPI Profile for
SIX IMPOSSIBLE

NPI Number
1255292405
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SIX IMPOSSIBLE
Primary location
1450 10TH ST STE 300
SANTA MONICA, CA 90401-2831
Phone: (310) 310-8031 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER ELLICE
MD
Phone: (310) 310-8031
Updated
Certification Date
Nov 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.