NPIMap

Organization Active NPI

West Side Health Care District

Doing business as West Side Family Health

  • Rural Health Clinic/Center
  • Taft, CA
National Provider Identifier
1992142277
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WEST SIDE HEALTH CARE DISTRICT
Doing business as
West Side Family Health
Practice address
100 E North St
Taft, CA 93268-3606
Phone
(661) 765-1935
Fax
(661) 765-1928
NPI assigned
May 28, 2013
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Mr. Ryan L Shultz
Title
Executive Director
Phone
(661) 765-7234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

100 E North St
Taft, CA 93268-3606

Mailing address

119 Adkisson Way
Taft, CA 93268-3602
Phone (661) 765-7234

Other names 1

  • West Side Family Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130826001062 CA Part B Supplier - Clinic/Group Practice 2769625540 Receives reassigned benefits from 19 practitioners
Practice locations: Taft, CA
O20160708001542 CA Part A Provider - Rural Health Clinic 2769625540 Practice locations: Taft, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992142277. Details of each certification follow.

Rural health clinic certification: CCN 058992

Legal name
WEST SIDE HEALTH CARE DISTRICT
Doing business as
WEST SIDE FAMILY HEALTH CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 12, 2017
Last certification
Sep 26, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Apr 27, 1995 in CA
Enrollment address
100 E North St
Taft, CA 93268-3606

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1023982West Side Family Health Care100 E North St, Taft, CA 93268Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

119 Adkisson Way
Taft, CA 93268
Phone (661) 765-7234

218 6th St
Taft, CA 93268

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
West Side Health Care District Organization, Taft, CA 5% Or Greater Direct Ownership Interest Jun 3, 2016 100%
Adele J Ward Individual Corporate DirectorBoard Vice President Apr 24, 2014
Janice L Ashley Individual Corporate DirectorBoard Member Dec 17, 2015
Ryan L Shultz Individual Corporate OfficerExecutive Director Mar 1, 2022
Eric L Cooper Individual Corporate DirectorBoard President Jul 1, 2001
Robyn Melton Individual W-2 Managing EmployeeDistrict Manager Apr 28, 2008
Virginia L Miller Individual Corporate DirectorBoard Secretary/Treasurer Mar 1, 2012
Darren Walrath Individual Corporate DirectorBoard Member Aug 25, 2017

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1992142277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ADKISSON WAY",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683602",
            "telephone_number": "661-765-7234",
            "fax_number": "661-745-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NORTH ST",
            "city": "TAFT",
            "state": "CA",
            "postal_code": "932683606",
            "telephone_number": "661-765-1935",
            "fax_number": "661-765-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-765-7234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Side Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taft, CA

Sources for this page

Verify at the official NPI Registry.