NPIMap

Organization Active NPI

Westside Wellness Center

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1063659753
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16444 Issued in CA
Legal business name
WESTSIDE WELLNESS CENTER
Practice address
11645 Wilshire Blvd
120
Los Angeles, CA 90025-1708
Phone
(310) 231-7000
Fax
(310) 231-7000
NPI assigned
Jan 16, 2009
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Jason Walter Kelberman, DONPI 1467524165
Title
Director Chiro & Clinical Services
Phone
(310) 231-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 16444 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
120
Los Angeles, CA 90025-1708

Mailing address

11645 Wilshire Blvd
120
Los Angeles, CA 90025-1708
Phone (310) 231-7000

National Provider Directory

National Provider Directory

Locations

218 6th St
Taft, CA 93268

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1063659753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-231-7000",
            "fax_number": "310-231-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-231-7000",
            "fax_number": "310-231-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KELBERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "DIRECTOR CHIRO & CLINICAL SERVICES",
        "authorized_official_telephone_number": "310-231-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.