NPIMap

Organization Active NPI

One West Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1063959757
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ONE WEST MEDICAL GROUP
Practice address
440 Shatto PL Ste 419
Los Angeles, CA 90020-1714
Phone
(310) 553-5203
Fax
(310) 652-0933
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Ashley Alfred Wool-Smith, DCNPI 1346461753
Title
Manager
Phone
(310) 553-5203

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

440 Shatto PL Ste 419
Los Angeles, CA 90020-1714

Mailing address

PO Box 894874
Los Angeles, CA 90189-4874
Phone (310) 553-5203

National Provider Directory

National Provider Directory
Tax ID family
One West Medical Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1063959757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894874",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "901894874",
            "telephone_number": "310-553-5203",
            "fax_number": "310-652-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL STE 419",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201714",
            "telephone_number": "310-553-5203",
            "fax_number": "310-652-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE WEST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "WOOL-SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-553-5203",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 19, 2017; 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.