West la Spine ASC LLC

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

Organization subpart

No

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

Authorized official

Name

Dr. Nadiv Samimi

Title

Administrator

Phone

(310) 856-9488

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faisal Lalani, MD

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
  • NPI 1528252558
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO INSURANCE",
            "identifier": "06141977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.