Claude Guy Wasterlain, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A29823 Issued in CA

Practice address

11301 Wilshire Boulevard
VA Medical Center, Neurology Service (127)
West Los Angeles, CA 90073

Phone

(310) 268-3595

Fax

(310) 268-4611

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407958739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 HIGHWATER RD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442110",
            "telephone_number": "818-368-1116",
            "fax_number": "310-268-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BOULEVARD",
            "address_2": "VA MEDICAL CENTER, NEUROLOGY SERVICE (127)",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-268-3595",
            "fax_number": "310-268-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASTERLAIN",
        "first_name": "CLAUDE",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A29823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in West Los Angeles, CA
• Providers in West Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.