NPIMap

Organization Active NPI

Robert West MD Inc

  • Family Medicine Physician
  • Upland, CA
National Provider Identifier
1508920489
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80098 Issued in CA
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
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

600 N 13th Ave
Ste 150
Upland, CA 91786
Phone (909) 985-2223

Practitioners & affiliated clinicians

Practitioners 5

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.

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": [],
    "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.

Verify at the official NPI Registry.