Westside Head & Neck

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WESTSIDE HEAD & NECK

Practice address

3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751

Phone

(310) 204-4111

Fax

(310) 204-4474

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Ann Putnam, MDNPI 1063584092

Title

General Partner

Phone

(310) 204-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Michelle Ann Putnam, M.D.

  • Otolaryngology Physician
  • Culver City, CA
  • NPI 1063584092
  Medicare reassignment Care Compare group NPD Authorized official
• Behrad Aynehchi, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Culver City, CA
  • NPI 1275709040
  Medicare reassignment Care Compare group NPD
• Ronen Nazarian, M.D.

  • Otolaryngology Physician
  • Beverly Hills, CA
  • NPI 1194967141
  Medicare reassignment Care Compare group NPD
• Julianna Ellen Pesce, M.D.

  • Otolaryngology Physician
  • Culver City, CA
  • NPI 1326339219
  Medicare reassignment Care Compare group NPD
• Amanda R. Salvado, MD

  • Otolaryngology Physician
  • Culver City, CA
  • NPI 1194988154
  Medicare reassignment Care Compare group NPD
• Dorothy Wang, M.D.

  • Otolaryngology Physician
  • Culver City, CA
  • NPI 1497942353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1508174871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-204-4111",
            "fax_number": "310-204-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-204-4111",
            "fax_number": "310-204-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HEAD & NECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "310-204-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "DR6472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane A West
• Western Imaging Center
• Suzan C Westmoreland
• Westside Family Health Center
• Westside Family Health Center
• Westside Infant-Family Network
• Westside TMS Center
• Westview Dental
• Vincent Eugene Weyrick, LVN
• Robert L Whalen, LMFT

• Otolaryngology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.