Individual provider Active NPI

Carl G West, M.D.

  • Gastroenterology Physician
  • La Quinta, CA
National Provider Identifier
1326019944
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G35020 Issued in CA
Practice address
47674 Caleo Bay Drive
Suite 200
Laquinta, CA 92253-8856
Phone
(760) 673-7010
Fax
(760) 673-7911
NPI assigned
Jan 31, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 201148 NY
Gastroenterology Physician 207RG0100X G35020 CA Primary

Addresses

Primary practice location

47674 Caleo Bay Drive
Suite 200
Laquinta, CA 92253-8856

Mailing address

47674 Caleo Bay Drive
Suite 200
La Quinta, CA 92253-8856
Phone (760) 673-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406002575 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4385652973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35020CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Gastroenterology CurrentSince May 15, 2017 Accepting new patients
First Choice Physician Partners CurrentSince May 15, 2017 Accepting new patients

Locations

47647 Caleo Bay Dr
Ste 200
La Quinta, CA 92253
Phone (760) 777-8282

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1326019944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47674 CALEO BAY DRIVE",
            "address_2": "SUITE 200",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538856",
            "telephone_number": "760-673-7010",
            "fax_number": "760-673-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47674 CALEO BAY DRIVE",
            "address_2": "SUITE 200",
            "city": "LAQUINTA",
            "state": "CA",
            "postal_code": "922538856",
            "telephone_number": "760-673-7010",
            "fax_number": "760-673-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CARL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "201148",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G35020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.