Active NPI
Westside Medical Evaluators
- Internal Medicine Physician
- El Segundo, CA
National Provider Identifier
1548666308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73853
- Legal business name
- WESTSIDE MEDICAL EVALUATORS
- Practice address
- 400 Continental Blvd
Ste 600
El Segundo, CA 90245-5076 - Phone
- (310) 919-6811
- Fax
- (310) 356-3203
- NPI assigned
- Nov 6, 2014
- 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
- Dr. Frederick Butler II, MD
- Title
- President
- Phone
- (310) 919-6811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73853 | CA | Primary |
Addresses
Primary practice location
400 Continental Blvd
Ste 600
El Segundo, CA 90245-5076
Mailing address
15332 Antioch St Ste 820
Suite: 820
Pacific Palisades, CA 90272-3628
Phone (310) 919-6811
National Provider Directory
National Provider DirectoryLocations
15332 Antioch St
Ste 820
Pacific Palisades, CA 90272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1548666308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15332 ANTIOCH ST STE 820",
"address_2": "SUITE: 820",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723628",
"telephone_number": "310-919-6811",
"fax_number": "310-356-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONTINENTAL BLVD",
"address_2": "STE 600",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455076",
"telephone_number": "310-919-6811",
"fax_number": "310-356-3203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE MEDICAL EVALUATORS",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-919-6811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.