Active NPI
Westside Medical Group Inc
- Rural Health Clinic/Center
- Firebaugh, CA
National Provider Identifier
1467696203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- WESTSIDE MEDICAL GROUP INC
- Practice address
- 1107 O St
Firebaugh, CA 93622-2224 - Phone
- (559) 659-9000
- Fax
- (559) 659-9017
- NPI assigned
- Apr 23, 2009
- Last updated
- Jan 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaspreet K Riar
- Title
- Owner
- Phone
- (559) 659-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
1107 O St
Firebaugh, CA 93622-2224
Mailing address
1107 O St
Firebaugh, CA 93622-2224
Phone (559) 659-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAP53929F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1107 O St
Firebaugh, CA 93622
Phone (559) 659-9000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Firebaugh, CA
- NPI 1184719460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674777600000",
"number": "1467696203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 O ST",
"city": "FIREBAUGH",
"state": "CA",
"postal_code": "936222224",
"telephone_number": "559-659-9000",
"fax_number": "559-659-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 O ST",
"city": "FIREBAUGH",
"state": "CA",
"postal_code": "936222224",
"telephone_number": "559-659-9000",
"fax_number": "559-659-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A",
"authorized_official_last_name": "RIAR",
"authorized_official_first_name": "JASPREET",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-659-9000"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HAP53929F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Firebaugh, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.