Alan C. Westeren, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G79738 Issued in CA

Legal business name

ALAN C. WESTEREN, M.D., INC.

Practice address

16486 Bernardo Center Dr
Ste C-150 Alan C Westeren MD Inc/Expertvisioncaremedgrp
San Diego, CA 92128-2518

Phone

(858) 673-2277

Fax

(858) 451-3733

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Alan C. Westeren, M.D.NPI 1962513135

Title

Chief Executive Officer

Phone

(858) 354-9833

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Expert Vision Care Medical Group, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Alan C. Westeren, M.D.

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1962513135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1902880867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 CASS ST",
            "address_2": "#59 ALAN WESTEREN MD/EXPERT VISION CARE MEDICAL GROUP",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092805",
            "telephone_number": "858-673-2277",
            "fax_number": "858-451-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16486 BERNARDO CENTER DR",
            "address_2": "STE C-150 ALAN C WESTEREN MD INC/EXPERTVISIONCAREMEDGRP",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282518",
            "telephone_number": "858-673-2277",
            "fax_number": "858-451-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C. WESTEREN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "WESTEREN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "858-354-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G79738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00131150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE POWAY OFFICE",
            "identifier": "W18008A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COSTA MESA OFFC",
            "identifier": "W18008",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SAN DIEGO OFFICE",
            "identifier": "W18008B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expert Vision Care Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.