Active NPI
Western Medical Associates
- Family Medicine Physician
- Capitola, CA
National Provider Identifier
1306953005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTERN MEDICAL ASSOCIATES
- Practice address
- 528 Capitola Ave
Capitola, CA 95010-2750 - Phone
- (831) 475-1630
- Fax
- (831) 475-1629
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Keet, M.D.
- Title
- Physician
- Phone
- (831) 465-7778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA | Primary |
Addresses
Primary practice location
528 Capitola Ave
Capitola, CA 95010-2750
Mailing address
1595 Soquel Dr. Ste. 330
Santa Cruz, CA 95065
Phone (831) 465-7778
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1306953005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 SOQUEL DR. STE. 330",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95065",
"telephone_number": "831-465-7778",
"fax_number": "831-475-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 CAPITOLA AVE",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102750",
"telephone_number": "831-475-1630",
"fax_number": "831-475-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KEET",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "831-465-7778",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.