Organization Active NPI

West Arrow Family Medicine Inc

  • Family Medicine Physician
  • San Dimas, CA
National Provider Identifier
1992740054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6753 Issued in CA
Legal business name
WEST ARROW FAMILY MEDICINE INC
Doing business as
West Arrow Family Medicine Inc
Practice address
1305 W Arrow Hwy
Suite 106
San Dimas, CA 91773-2336
Phone
(909) 592-9246
Fax
(909) 562-9248
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul William Willis Jr., D.O.NPI 1518909761
Title
Medical Director
Phone
(909) 952-9246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6753 CA Primary

Addresses

Primary practice location

1305 W Arrow Hwy
Suite 106
San Dimas, CA 91773-2336

Mailing address

1305 W Arrow Hwy
Suite 106
San Dimas, CA 91773-2336
Phone (909) 592-9246

Other names 1

  • West Arrow Family Medicine Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992740054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W ARROW HWY",
            "address_2": "SUITE 106",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732336",
            "telephone_number": "909-592-9246",
            "fax_number": "909-562-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W ARROW HWY",
            "address_2": "SUITE 106",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732336",
            "telephone_number": "909-592-9246",
            "fax_number": "909-562-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ARROW FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-952-9246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Arrow Family Medicine Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.