Individual provider Active NPI

Patricia Lynn Westerhout, D.D.S.

  • General Practice Dentistry
  • Castro Valley, CA
National Provider Identifier
1033314729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42250 Issued in CA
Practice address
20212 Redwood Rd
Suite 101
Castro Valley, CA 94546-4324
Phone
(510) 886-6416
Fax
(510) 886-4827
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42250 CA Primary

Addresses

Primary practice location

20212 Redwood Rd
Suite 101
Castro Valley, CA 94546-4324

Mailing address

20212 Redwood Rd
Suite 101
Castro Valley, CA 94546-4324
Phone (510) 886-6416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Munagala DDS Inc PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033314729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD",
            "address_2": "SUITE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464324",
            "telephone_number": "510-886-6416",
            "fax_number": "510-886-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD",
            "address_2": "SUITE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464324",
            "telephone_number": "510-886-6416",
            "fax_number": "510-886-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERHOUT",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.