Organization Active NPI

Westlake Medical Associates, Inc.

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1093839490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-034119 Issued in OH
Legal business name
WESTLAKE MEDICAL ASSOCIATES, INC.
Practice address
26314 Center Ridge Rd
Westlake, OH 44145-4028
Phone
(440) 871-3655
Fax
(440) 871-0740
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Serafin Cruz Garcia Jr., MD
Title
Physician
Phone
(440) 871-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-034119 OH Primary

Addresses

Primary practice location

26314 Center Ridge Rd
Westlake, OH 44145-4028

Mailing address

26314 Center Ridge Rd
Westlake, OH 44145-4028
Phone (440) 871-3655

Other identifiers 1

IdentifierTypeStateIssuer
0228668MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093839490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26314 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454028",
            "telephone_number": "440-871-3655",
            "fax_number": "440-871-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26314 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454028",
            "telephone_number": "440-871-3655",
            "fax_number": "440-871-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SERAFIN",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-871-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-034119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • 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.