Organization Active NPI

Westlake Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1346374014
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
550000254 Issued in CA
Legal business name
WESTLAKE SURGICAL CENTER
Practice address
911 Hampshire Rd.
Suite 2
Westlake Village, CA 91361-2818
Phone
(805) 370-5522
Fax
(805) 370-5523
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Donald Nikchevich, DDS
Title
Ceo
Phone
(805) 495-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 550000254 CA Primary

Addresses

Primary practice location

911 Hampshire Rd.
Suite 2
Westlake Village, CA 91361-2818

Mailing address

911 Hampshire Rd.
Suite 2
Westlake Village, CA 91361
Phone (805) 370-5522

National Provider Directory

National Provider Directory

Locations

911 Hampshire Rd
Ste 2
Westlake Vlg, CA 91361
Phone (805) 370-5522

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1346374014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD.",
            "address_2": "SUITE 2",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-370-5522",
            "fax_number": "805-370-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD.",
            "address_2": "SUITE 2",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612818",
            "telephone_number": "805-370-5522",
            "fax_number": "805-370-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "NIKCHEVICH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-495-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.