Organization Active NPI

Wes J Powell, MD, Inc

  • Surgery Physician
  • Pasadena, CA
National Provider Identifier
1437330677
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A46628 Issued in CA
Legal business name
WES J POWELL, MD, INC
Practice address
950 S Arroyo Pkwy FL 3
Pasadena, CA 91105-3932
Phone
(626) 449-0694
Fax
(626) 449-4607
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Wes J Powell, MDNPI 1861441925
Title
President
Phone
(626) 449-0694

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A46628 CA Primary

Addresses

Primary practice location

950 S Arroyo Pkwy FL 3
Pasadena, CA 91105-3932

Mailing address

950 S Arroyo Pkwy FL 3
Pasadena, CA 91105-3932
Phone (626) 449-0694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050829001083 CA Part B Supplier - Clinic/Group Practice 1456382498 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1437330677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY FL 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053932",
            "telephone_number": "626-449-0694",
            "fax_number": "626-449-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY FL 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053932",
            "telephone_number": "626-449-0694",
            "fax_number": "626-449-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WES J POWELL, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-449-0694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A46628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.