Marvin R West, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 1584 Issued in FL

Practice address

10175 Fortune Pkwy Unit 803
Jacksonville, FL 32256-6754

Phone

(904) 374-0353

Fax

(904) 503-0982

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1356569461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 ELIZABETH FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575379",
            "telephone_number": "904-891-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566754",
            "telephone_number": "904-374-0353",
            "fax_number": "904-503-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8942 Elizabeth Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322575379",
            "country_code": "US",
            "telephone_number": "904-891-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MARVIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimetra West
• Johnathon Trevino West
• Kyra Nicole West, MSW
• Lanore West, M.ED.
• Lauren Troncoso West, LMFT
• Megan C West, AUD
• Nicolle Castillo West, ARNP
• Rossana Natalie West, CRNA
• Violeta West
• Ashley Danielle Westberry, APRN

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.