NPIMap

Organization Active NPI

Health Atlast West la

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
National Provider Identifier
1326584277
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALTH ATLAST WEST LA
Practice address
2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046
Phone
(310) 453-8393
Fax
(310) 453-8696
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Wayne Higashi, DCNPI 1528073848
Title
Owner
Phone
(310) 390-9018

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046

Mailing address

2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046
Phone (310) 453-8393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527001161 CA Part B Supplier - Clinic/Group Practice 7719100478 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1326584277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD STE 308",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042046",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD STE 308",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042046",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ATLAST WEST LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HIGASHI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-390-9018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.