| Westside Family Health Center | |
|
3861 Sepulveda Blvd Culver City CA 90230-4605 | |
| (310) 450-4773 | |
| (310) 450-0873 |
| Full Name | Westside Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3861 Sepulveda Blvd, Culver City, California |
| Authorized Official Name and Position | Debra A. Farmer (PRESIDENT/CEO) |
| Authorized Official Contact | 3104504773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Health Center 3861 Sepulveda Blvd Culver City CA 90230-4605 Ph: (310) 450-4773 | Westside Family Health Center 3861 Sepulveda Blvd Culver City CA 90230-4605 Ph: (310) 450-4773 |
| NPI Number | 1831287978 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/25/2020 |
| Medicare PECOS PAC ID | 5698667749 |
|---|---|
| Medicare Enrollment ID | O20040325000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831287978 | NPI | - | NPPES |
| ZZT11798F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960000185 (California) | Primary |
| Provider Name | Shirley X Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790791945 PECOS PAC ID: 7416848239 Enrollment ID: I20040322001671 |
| Provider Name | Robin A Alleyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114957941 PECOS PAC ID: 0446207591 Enrollment ID: I20050331001274 |
| Provider Name | Sean Javdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740470319 PECOS PAC ID: 7416122031 Enrollment ID: I20111209000544 |
| Provider Name | Rebecca L Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407002777 PECOS PAC ID: 7315171451 Enrollment ID: I20150701002669 |
| Provider Name | Brettney R Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831554682 PECOS PAC ID: 1759671167 Enrollment ID: I20160526000143 |
| Provider Name | Aisha Bettina Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598102394 PECOS PAC ID: 3971890385 Enrollment ID: I20170825003496 |
| Provider Name | Sarah Y Diroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891122024 PECOS PAC ID: 8628341997 Enrollment ID: I20170907003321 |
| Provider Name | Jenna M Tarkela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275851784 PECOS PAC ID: 1355774720 Enrollment ID: I20191126001788 |
| Provider Name | Susan G Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104379692 PECOS PAC ID: 6305279449 Enrollment ID: I20191204001423 |
| Provider Name | Emma M Nace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011783 PECOS PAC ID: 3173952199 Enrollment ID: I20200326001447 |
| Provider Name | Mohammed Feroz Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063999340 PECOS PAC ID: 4486071859 Enrollment ID: I20220316002586 |
| Provider Name | Tatevik Hovhannisyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699422048 PECOS PAC ID: 6406236173 Enrollment ID: I20220712002048 |
| Provider Name | Jennifer H King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669979761 PECOS PAC ID: 2365823002 Enrollment ID: I20220713000867 |
| Provider Name | Carmen L Arias Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699489435 PECOS PAC ID: 3577927979 Enrollment ID: I20230919002098 |
| Provider Name | Shirin Yezdi Bahadurji |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356939136 PECOS PAC ID: 0941654271 Enrollment ID: I20230920003281 |
Lowell P Theard Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, 705, Culver City, CA 90232 Phone: 310-838-6801 Fax: 310-838-5385 | |
Jefferson West Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4212 Overland Ave, Culver City, CA 90230 Phone: 310-204-2574 Fax: 310-204-2820 | |
Martha Sonnenberg Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite 702, Culver City, CA 90232 Phone: 310-659-4384 Fax: 310-659-9342 | |
Achievable Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5901 Green Valley Cir, Suite 405, Culver City, CA 90230 Phone: 424-266-7474 Fax: 310-596-8268 | |
Daniel V. Ehrensaft, Md A Professional Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite 603, Culver City, CA 90232 Phone: 310-202-9145 Fax: 310-202-0188 | |
Nadiya Ginzburg Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave Ste 604, Culver City, CA 90232 Phone: 310-842-8988 Fax: 310-842-8953 | |
Prospera Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite 602, Culver City, CA 90232 Phone: 310-204-6897 Fax: 310-204-4690 |