NPIMap

Organization Active NPI

J. Robert West, M.D., Inc

  • Dermatopathology Physician
  • Irvine, CA
National Provider Identifier
1295917904
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G4302 Issued in CA
Legal business name
J. ROBERT WEST, M.D., INC
Practice address
14785 Jeffrey Rd
Suite 201
Irvine, CA 92618-0408
Phone
(949) 653-0280
Fax
(949) 653-0200
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Kara Lynn Foley
Title
Credentialing
Phone
(702) 360-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X G4302 CA Primary

Addresses

Primary practice location

14785 Jeffrey Rd
Suite 201
Irvine, CA 92618-0408

Mailing address

12700 Park Central Dr Ste 1210
Dallas, TX 75251-1522
Phone (702) 360-2763

Other names 1

  • WEST DERMATOLOGY PATHOLOGY LABORATORY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Dermatologysurg Med GR2 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.

Locations

14785 Jeffrey Rd
Ste 201
Irvine, CA 92618
Phone (909) 428-1585

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1295917904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 1210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511522",
            "telephone_number": "702-360-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "SUITE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "949-653-0280",
            "fax_number": "949-653-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ROBERT WEST, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "702-360-2763"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST DERMATOLOGY PATHOLOGY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST DERMATOLOGY PATHOLOGY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.