Organization Active NPI

Westside Medical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1104909068
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A40040 Issued in CA
Legal business name
WESTSIDE MEDICAL CENTER INC
Practice address
1700 Westwood Blvd FL 1
Los Angeles, CA 90024-5608
Phone
(310) 234-6600
Fax
(310) 234-6604
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Sohrab Yamini, MDNPI 1689601858
Title
Owner
Phone
(310) 234-6600

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A40040 CA Primary

Addresses

Primary practice location

1700 Westwood Blvd FL 1
Los Angeles, CA 90024-5608

Mailing address

1700 Westwood Blvd FL 1
Los Angeles, CA 90024-5608
Phone (310) 234-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000569 CA Part B Supplier - Ambulatory Surgical Center 1557450665 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Westside Medical Center IncCCN 05C0001811
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1700 Westwood Blvd
Fl First
Los Angeles, CA 90024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1104909068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245608",
            "telephone_number": "310-234-6600",
            "fax_number": "310-234-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245608",
            "telephone_number": "310-234-6600",
            "fax_number": "310-234-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "YAMINI",
        "authorized_official_first_name": "SOHRAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-234-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A40040",
            "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 Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.