Westside Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WESTSIDE HEALTH CARE, INC.

Practice address

1020 S Fairfax Ave
Los Angeles, CA 90019-4401

Phone

(323) 938-2451

Fax

(323) 938-0361

NPI assigned

Oct 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lydia Floro Cruz

Title

President

Phone

(323) 965-0600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073501664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194401",
            "telephone_number": "323-938-2451",
            "fax_number": "323-938-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194401",
            "telephone_number": "323-938-2451",
            "fax_number": "323-938-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "FLORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-965-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55139F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westside DBT, Inc
• Westside Emergency Medical Associates
• Westside Endodontics Inc
• Westside Endodontics Inc
• Westside Gastroenterology and Hepatology
• Westside Health Care, LLC (Westside Convalescent Hospital)
• Westside Health Enterprises Inc
• Westside Healthcare Group (A Comfortable Home Care)
• Westside Home Health, Inc.
• Westside Home Medical Equipment

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.