Organization Active NPI

Westside Family Practice

  • Family Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1104971472
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTSIDE FAMILY PRACTICE
Practice address
400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone
(805) 525-2121
Fax
(805) 525-3652
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Jeanice J Lambert
Title
Manager
Phone
(805) 525-2121

Specialties & licenses 1

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

Addresses

Primary practice location

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675

Mailing address

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone (805) 525-2121

Other identifiers 2

IdentifierTypeStateIssuer
1285671206OtherNPI
GR0024030MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1104971472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE A",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-2121",
            "fax_number": "805-525-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE A",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-2121",
            "fax_number": "805-525-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JEANICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-525-2121"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285671206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0024030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.