Active NPI
Robert West MD Inc
- Family Medicine Physician
- Upland, CA
National Provider Identifier
1508920489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A80098
- Legal business name
- ROBERT WEST MD INC
- Practice address
- 600 N 13TH St Ste 150
Upland, CA 91786-4905 - Phone
- (909) 985-2223
- Fax
- (909) 985-2233
- NPI assigned
- Dec 21, 2006
- 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
- Ms. Sue Rotan
- Title
- Manager
- Phone
- (909) 838-7123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A80098 | CA | Primary |
Addresses
Primary practice location
600 N 13TH St Ste 150
Upland, CA 91786-4905
Mailing address
600 N 13TH St Ste 150
Upland, CA 91786-4905
Phone (909) 985-2223
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A80098 | Other | CA | HMO |
| 00A80098 | Other | CA | TRICARE |
| 00A800985 | Other | CA | INDIVIDUAL PTAN |
| 00A800987 | Other | CA | INDIVIDUAL PTAN |
| 00A800988 | Other | CA | INDIVIDUAL PTAN |
| 00A80098 | Other | CA | PPO |
| 00A800980 | Other | CA | BLUE CROSS SHIELD |
| 00A800986 | Other | CA | INDIVIDUAL PTAN |
| 00A80098 | Other | CA | COMMERCIAL |
| 00A800984 | Other | CA | INDIVIDUAL PTAN |
| 00A800983 | Other | CA | INDIVIDUAL PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Upland, CA
- NPI 1396064390
-
- Dermatology Physician
- Upland, CA
- NPI 1710041686
-
- Addiction Medicine (Internal Medicine) Physician
- Hemet, CA
- NPI 1760423560
-
- Family Medicine Physician
- Upland, CA
- NPI 1063613578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1508920489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N 13TH ST STE 150",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864905",
"telephone_number": "909-985-2223",
"fax_number": "909-985-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N 13TH ST STE 150",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864905",
"telephone_number": "909-985-2223",
"fax_number": "909-985-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT WEST MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "ROTAN",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "909-838-7123",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A80098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "00A80098",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "00A80098",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800985",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800987",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800988",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "00A80098",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "00A800980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800986",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "00A80098",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800984",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "00A800983",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.