Organization Active NPI

Westside Home Medical Equipment

  • Customized Equipment (DME)
  • Los Angeles, CA
National Provider Identifier
1255401444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
100697 Issued in CA
Legal business name
WESTSIDE HOME MEDICAL EQUIPMENT
Practice address
2743 S Robertson Blvd
Los Angeles, CA 90034-2403
Phone
(310) 204-2375
Fax
(310) 204-2549
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wehiba Kalifa
Title
President
Phone
(310) 204-2375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 100697 CA Primary

Addresses

Primary practice location

2743 S Robertson Blvd
Los Angeles, CA 90034-2403

Mailing address

2743 S Robertson Blvd
Los Angeles, CA 90034-2403
Phone (310) 204-2375

Other identifiers 1

IdentifierTypeStateIssuer
DME02245FMedicaidCA

National Provider Directory

National Provider Directory

Locations

2743 S Robertson Blvd
Los Angeles, CA 90034
Phone (310) 204-2375

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255401444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342403",
            "telephone_number": "310-204-2375",
            "fax_number": "310-204-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342403",
            "telephone_number": "310-204-2375",
            "fax_number": "310-204-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALIFA",
        "authorized_official_first_name": "WEHIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-204-2375"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "100697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02245F",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.