NPIMap

Organization Active NPI

West la Spine ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1629623376
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST LA SPINE ASC LLC
Practice address
1964 Westwood Blvd Ste 436
Los Angeles, CA 90025-4695
Phone
(310) 856-9488
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Nadiv SamimiNPI 1730316548
Title
Administrator
Phone
(310) 856-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1964 Westwood Blvd Ste 436
Los Angeles, CA 90025-4695

Mailing address

1964 Westwood Blvd Ste 436
Los Angeles, CA 90025-4695
Phone (310) 856-9488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1629623376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 WESTWOOD BLVD STE 436",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254695",
            "telephone_number": "310-856-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 WESTWOOD BLVD STE 436",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254695",
            "telephone_number": "310-856-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LA SPINE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "SAMIMI",
        "authorized_official_first_name": "NADIV",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-856-9488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.