Priscilla Marie West

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

709112 Issued in CA

Practice address

1066 E Avenue J
Lancaster, CA 93535-3870

Phone

(661) 942-1026

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Priscilla Marie Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Design for Change

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1003435629
  NPD (past)
• Design for Change

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1447709019
  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1225715162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 E AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353870",
            "telephone_number": "661-942-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 E AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353870",
            "telephone_number": "661-942-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44319 11th St E",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935353855",
            "country_code": "US",
            "telephone_number": "661-942-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44501 16th St W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342884",
            "country_code": "US",
            "telephone_number": "661-942-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "PRISCILLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "709112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West Coast Cardiovascular Consultants (Moneer J Eddin MD)
• West Coast Drug and Alcohol Education Program
• West Coast Medical Transportation Services, Inc.
• West Los Angeles Vamc
• Carmen West
• Western Dental Services, Inc.
• Western Dental Services, Inc.
• Western Pacific Med-Corp
• Western Pacific Re-Hab
• Westside Medical Supply

• Licensed Vocational Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.