Westside Pediatrics, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A102946 Issued in CA

Legal business name

WESTSIDE PEDIATRICS, INC.

Practice address

12301 Wilshire Blvd Ste 120
Los Angeles, CA 90025-1099

Phone

(310) 500-5546

NPI assigned

Apr 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Ian Kagan, M.D., F.A.A.P.

Title

Owner

Phone

(310) 500-5546

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1982921508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251099",
            "telephone_number": "310-500-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251099",
            "telephone_number": "310-500-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-500-5546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A102946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1851562318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westside Multi-Specialty Medical Group, Inc.
• Westside Multispecialty Surgery Center, LP
• Westside Neurotherapeutics Inc
• Westside Neurotherapeutics, LLC.
• Westside Occupational Therapy Inc
• Westside Pharmacy Corporation
• Westside Psych, a Group Psychology Practice
• Westside Radiology & Dianostic Services, LLC.
• Westside Sober Living Centers
• Westside Technical Copr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.