Individual provider Active NPI

Derrick Edward West II

  • Non-emergency Medical Transport (VAN)
  • Apple Valley, CA
National Provider Identifier
1720529654
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
9961 Issued in CA
Practice address
15480 Straight Arrow Rd Apt B
Apple Valley, CA 92307-3068
Phone
(760) 686-9387
NPI assigned
Mar 11, 2017
Last updated
Mar 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 9961 CA Primary

Addresses

Primary practice location

15480 Straight Arrow Rd Apt B
Apple Valley, CA 92307-3068

Mailing address

15480 Straight Arrow Rd Apt B
Apple Valley, CA 92307-3068
Phone (760) 686-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9961CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Care Transportation Non-Emergency Medical Transport (Van) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1720529654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 STRAIGHT ARROW RD APT B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073068",
            "telephone_number": "760-686-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 STRAIGHT ARROW RD APT B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073068",
            "telephone_number": "760-686-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DERRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "9961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; 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.