Organization Active NPI

West Wilshire Medical Surgical Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1316082365
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S051570 Issued in CA
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

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Chester Frank Griffiths, MDNPI 1104939248
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 IncCCN 05C0001570
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.