Organization Active NPI

Westlake Medical Management Inc.

  • Long Term Care Pharmacy
  • Los Angeles, CA
National Provider Identifier
1366478992
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WESTLAKE MEDICAL MANAGEMENT INC.
Practice address
529 S Alvarado St
Los Angeles, CA 90057-2903
Phone
(213) 383-4262
Fax
(213) 383-4263
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Mrs. Diana Blumkin
Title
President
Phone
(213) 383-4262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 3892040001 CA
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

529 S Alvarado St
Los Angeles, CA 90057-2903

Mailing address

529 S Alvarado St
Los Angeles, CA 90057-2903
Phone (213) 383-4262

Other identifiers 1

IdentifierTypeStateIssuer
PHY55804OtherCACA STATE BOARD OF PHARMACY

Other names 1

  • Westlake Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

529 S Alvarado St
Los Angeles, CA 90057
Phone (213) 383-4262

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1366478992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572903",
            "telephone_number": "213-383-4262",
            "fax_number": "213-383-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572903",
            "telephone_number": "213-383-4262",
            "fax_number": "213-383-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE MEDICAL MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "BLUMKIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-383-4262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "3892040001",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE BOARD OF PHARMACY",
            "identifier": "PHY55804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westlake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2019; 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.