Active NPI
Wesley Allen Andersen, R.PH.
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1851417885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53637
- Practice address
- 1223 16TH St RM 1202
Santa Monica, CA 90404-1217 - Phone
- (760) 325-9370
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53637 | CA | Primary |
Addresses
Primary practice location
1223 16TH St RM 1202
Santa Monica, CA 90404-1217
Mailing address
851 N Kings Rd Apt 109
West Hollywood, CA 90069-5931
Phone (323) 944-0710
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53637 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of California | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1396010609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357948800000",
"number": "1851417885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 N KINGS RD APT 109",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695931",
"telephone_number": "323-944-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 16TH ST RM 1202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041217",
"telephone_number": "760-325-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "WESLEY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2013-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.