Organization Active NPI

Westside Medical Evaluators

  • Internal Medicine Physician
  • El Segundo, CA
National Provider Identifier
1548666308
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73853 Issued in CA
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

Updated by the provider on Nov 6, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.