Active NPI
West Wilshire Medical Surgical Center Inc.
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- S051570
- Legal business name
- WEST WILSHIRE MEDICAL SURGICAL CENTER INC.
- Practice address
- 11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708 - Phone
- (310) 477-5558
- Fax
- (310) 477-7281
- NPI assigned
- Feb 20, 2007
- 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
- Chester Frank Griffiths, MD
- Title
- Director
- Phone
- (310) 477-5558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | S051570 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708
Mailing address
11645 Wilshire Blvd
6TH Floor
Los Angeles, CA 90025-1708
Phone (310) 477-5558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120618000196 | CA | Part B Supplier - Ambulatory Surgical Center | 8123282472 | Practice locations: Los Angeles, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- West Wilshire Medical Surgical Center Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
11645 Wilshire Blvd
Fl 6
Los Angeles, CA 90025
Phone (310) 447-5558
11645 Wilshire Blvd
#602
Los Angeles, CA 90025
11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1104939248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497571200000",
"number": "1316082365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "6TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-477-5558",
"fax_number": "310-477-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "6TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-477-5558",
"fax_number": "310-477-7281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST WILSHIRE MEDICAL SURGICAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2017-06-16",
"status": "A",
"authorized_official_last_name": "GRIFFITHS",
"authorized_official_first_name": "CHESTER",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-477-5558",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "S051570",
"primary": true
}
],
"identifiers": [],
"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 Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.