West Coast Cardiology Medical Group Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A33600 Issued in CA

Legal business name

WEST COAST CARDIOLOGY MEDICAL GROUP INC.

Practice address

575 E Hardy St
Suite 104
Inglewood, CA 90301-4036

Phone

(310) 671-9802

Fax

(310) 671-5011

NPI assigned

Jul 8, 2006

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anna Ball

Title

Administrator

Phone

(310) 671-9802

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1255364998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-671-9802",
            "fax_number": "310-671-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E HARDY ST",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014036",
            "telephone_number": "310-671-9802",
            "fax_number": "310-671-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST CARDIOLOGY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-671-9802",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A33600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060020745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Wells-Cole
• Natasha Wells, MSW
• Martha Tsega Wendemineh, BSN, FNP
• West Centinela Valley Care Center Inc (Centinela Valley Care West)
• West Centurymedical Center
• West Corner Medical Supply, Inc.
• Westbridge Home Health
• Westchester Dental Care
• Western Dental Services, Inc.
• Western Imperial Medical Distributors

• Cardiovascular Disease Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.