Individual provider Active NPI

Kevin Breck Westbrook, M.D.

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1508445859
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A196164 Issued in CA
Practice address
2755 Alamo St Ste 201
Simi Valley, CA 93065-1311
Phone
(805) 988-7070
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A196164 CA Primary

Addresses

Primary practice location

2755 Alamo St Ste 201
Simi Valley, CA 93065-1311

Mailing address

2755 Alamo St Ste 201
Simi Valley, CA 93065-1311
Phone (805) 988-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000078 CA Practitioner - Family Practice 8628516481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Un of California, Riverside, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Simi Medical Group, IncGroup PAC ID 8820351786, 3 clinicians

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

2755 Alamo St
Suite 101
Simi Valley, CA 93065-1311
Phone (805) 210-7280

2950 Sycamore Dr
Simi Valley, CA 93065-1210

301 Science Dr
Suite 180
Moorpark, CA 93021-0800
Phone (805) 955-7030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A196164CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Simi Medical Group, Inc Family Medicine Past Accepting new patients

Locations

301 Science Dr
Ste 180
Moorpark, CA 93021
Phone (805) 529-5265

2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone (805) 210-7280

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1508445859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651311",
            "telephone_number": "805-988-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651311",
            "telephone_number": "805-988-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "KEVIN",
        "middle_name": "BRECK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A196164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.