West Coast Physiatry

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

20A9891 Issued in CA

Legal business name

WEST COAST PHYSIATRY

Practice address

500 S Sepulveda Blvd Ste 301
Manhattan Beach, CA 90266-6976

Phone

(424) 237-2349

Fax

(310) 388-1358

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Raymond, D.O.

Title

President & Ceo

Phone

(424) 237-2349

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Breda Whelan Carroll, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Woodland Hills, CA
  • NPI 1427360726
  NPD (past)
• Anhthu Nguyen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1609004498
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1821377540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD STE 301",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666976",
            "telephone_number": "424-237-2349",
            "fax_number": "310-388-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD STE 301",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666976",
            "telephone_number": "424-237-2349",
            "fax_number": "310-388-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PHYSIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "424-237-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A9891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawntres Washington
• Judy Ann Wegnes, LMFT
• Susan B. Weidig, MFT #41865
• Well Now Physicians PC
• West Coast Center for Orthopedic Surgery and Sports Medicine
• Melanie West, M.A.
• Westside Anesthesia Services
• Dominique White, PHD
• Andrew Christenberry Whitelaw, LAC
• Alexandra E Wike, PHD, LP

• Medical Specialty Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.