West Coast AIDS Foundation, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

ME79021 Issued in FL

Legal business name

WEST COAST AIDS FOUNDATION, INC

Practice address

1840 Mease Dr
Suite 319
Safety Harbor, FL 34695-6602

Phone

(727) 669-6800

Fax

(727) 669-2540

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Brent W. Laartz, MD

Title

President

Phone

(727) 669-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

West Coast AIDS Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Coast AIDS Foundation

  • Case Management Agency
  • New Port Richey, FL
  • NPI 1467610113
  NPD tax ID

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1154518157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 319",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 319",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST AIDS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "LAARTZ",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "ME79021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "N07000008604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel H Watson III, APRN
• Nora Ann Z. Watts, MSW, LCSW
• Irina Weidman, RT R, CT, MR
• Lester Irwin Weiss, LCSW
• Jake Peter Welch
• West Coast Travel Medicine Consultants, LLC
• Ruvan Chandika Wickramasinghe, M.D.
• Jason Caleb Wiley
• Aaron T Williams, MD
• Millie Ann Williams, L.C.S.W.

• Case Management Agency in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.