Active NPI
Westside Primary Care, Inc.
- Legal Medicine
- Santa Monica, CA
National Provider Identifier
1073612982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A78716
- Legal business name
- WESTSIDE PRIMARY CARE, INC.
- Practice address
- 2428 Santa Monica Blvd
Santa Monica, CA 90404 - Phone
- (310) 829-3385
- Fax
- (310) 828-6635
- NPI assigned
- Sep 21, 2006
- Last updated
- May 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Romana Haider
- Title
- M.D.
- Phone
- (310) 829-3385
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A78716 | CA | Primary |
Addresses
Primary practice location
2428 Santa Monica Blvd
Santa Monica, CA 90404
Mailing address
9613 Kirkside Road
La, CA 90035
Phone (310) 838-8842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Westside Primary Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1760567200
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.
-
- Legal Medicine
- Santa Monica, CA
- NPI 1093755589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1073612982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9613 KIRKSIDE ROAD",
"city": "LA",
"state": "CA",
"postal_code": "90035",
"telephone_number": "310-838-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-829-3385",
"fax_number": "310-828-6635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE PRIMARY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "ROMANA",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "310-829-3385"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "CA",
"license": "A78716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Westside Neonatology Group
- Westside Nephrology Medical Group Inc
- Westside Oncology PC
- Westside Pediatric Dental Group
- Westside Pediatric Dental Group
- Westside Primary Care, Inc.
- Westside Professional Management Inc. (Parkview Imaging)
- Westside Sober Living Centers, Inc (Promises PTP)
- Westside Surgery Center, Inc
- Westside Surgical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.