West Wilshire Family Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

NP15115 Issued in CA

Legal business name

WEST WILSHIRE FAMILY MEDICAL CENTER INC

Practice address

11600 Wilshire Blvd
Suite 416
Los Angeles, CA 90025-5781

Phone

(310) 477-7201

Fax

(310) 575-0973

NPI assigned

Jan 30, 2015

Last updated

Mar 28, 2023By 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

Mrs. Alexandra Divinsky, NPNPI 1477644185

Title

Owner

Phone

(213) 864-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Alexandra Divinsky, NP

  • Neuroscience Registered Nurse
  • Los Angeles, CA
  • NPI 1477644185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1811387723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64455",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900640455",
            "telephone_number": "213-864-8500",
            "fax_number": "310-575-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD",
            "address_2": "SUITE 416",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255781",
            "telephone_number": "310-477-7201",
            "fax_number": "310-575-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WILSHIRE FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "DIVINSKY",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-864-8500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "NP15115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Regional Physicians Network, Inc.
• West Surgery Center
• West Tower Pediatrics
• West Valley Wellness Inc
• West Wellness Physical Therapy & Rehab Inc
• West Wilshire Medical Surgical Center Inc.
• Alexandra West
• Alisha West, M.D.
• Alteeka West
• Amy West, PHD

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.