Organization Active NPI

Western Health Care, a Professional Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1902906068
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTERN HEALTH CARE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
4760 S Figueroa St
Los Angeles, CA 90037-3159
Phone
(323) 232-2601
Fax
(323) 232-1924
NPI assigned
Sep 25, 2006
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Dr. Veassa Gail Johnson, M.D.NPI 1346308756
Title
Physician
Phone
(323) 232-2601

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Gastroenterology Physician 207RG0100X NU

Addresses

Primary practice location

4760 S Figueroa St
Los Angeles, CA 90037-3159

Mailing address

4035 Davana Rd
Sherman Oaks, CA 91423-4635
Phone (323) 232-2601

Other practice location 1

520 E Carson Plaza Ct Ste 104
Carson, CA 90746-3200
Phone (310) 965-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523001317 CA Part B Supplier - Clinic/Group Practice 2365484045 Receives reassigned benefits from 3 practitioners
Practice locations: Carson, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

520 E Carson Plaza Ct
Ste 104
Carson, CA 90746
Phone (310) 965-0300

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

4760 S Figueroa St
Los Angeles, CA 90037
Phone (323) 232-2601

4760 S Figueroa St
#A
Los Angeles, CA 90037
Phone (323) 232-2601

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1902906068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 DAVANA RD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234635",
            "telephone_number": "323-232-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373159",
            "telephone_number": "323-232-2601",
            "fax_number": "323-232-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E Carson Plaza Ct Ste 104",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907463200",
            "country_code": "US",
            "telephone_number": "310-965-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN HEALTH CARE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VEASSA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-232-2601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.