Westside Nephrology Medical Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G34196 Issued in CA

Legal business name

WESTSIDE NEPHROLOGY MEDICAL GROUP INC

Practice address

1301 20TH St Ste 200
Santa Monica, CA 90404-2088

Phone

(310) 829-3639

NPI assigned

May 9, 2007

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morris Grabie, MDNPI 1659399681

Title

Owner President

Phone

(310) 829-3639

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Morris Tobias Grabie, MD

  • Nephrology Physician
  • Santa Monica, CA
  • NPI 1659399681
  Authorized official Same address or phone
• Hannah Sung Hee Sim, MD

  • Internal Medicine Physician
  • Baldwin Park, CA
  • NPI 1811036510
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1760696934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042088",
            "telephone_number": "310-829-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEPHROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GRABIE",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-829-3639",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34196",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G34196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ24192Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh Weston, LCSW
• Westside Gynecology a Medical Corporation
• Westside Healing Therapy Inc.
• Westside Internal Medicine
• Westside Neonatology Group
• Westside Oncology PC
• Westside Pediatric Dental Group
• Westside Pediatric Dental Group
• Westside Primary Care, Inc.
• Westside Primary Care, Inc.

• Nephrology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.