Organization Active NPI

Westhout MD Inc

  • Urgent Care Clinic/Center
  • San Pedro, CA
National Provider Identifier
1801428800
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WESTHOUT MD INC
Practice address
940 N Western Ave
San Pedro, CA 90732-2403
Phone
(323) 877-8916
NPI assigned
Feb 7, 2020
Organization subpart
Yes
Parent organization
WESTHOUT MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Franklin WesthoutNPI 1659605475
Title
MD
Phone
(323) 877-8916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

940 N Western Ave
San Pedro, CA 90732-2403

Mailing address

940 N Western Ave
San Pedro, CA 90732-2403

Other names 1

  • San Pedro Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200508001290 CA Part B Supplier - Clinic/Group Practice 1759712631 Receives reassigned benefits from 5 practitioners
Practice locations: San Pedro, CA

National Provider Directory

National Provider Directory
Part of
Westhout MD Inc

Locations

940 N Western Ave
San Pedro, CA 90732
Phone (323) 877-8916

940 N Western Ave
Ste A
San Pedro, CA 90732
Phone (424) 450-4710

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1801428800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322403",
            "telephone_number": "323-877-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTHOUT MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTHOUT MD INC",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "WESTHOUT",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-877-8916"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.