PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.
NPI 1093919615
Family Medicine in Los Angeles, CA

Q: What is Pacific West Coast Health Medical Therapy Center Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2007

11540 SANTA MONICA BLVD, 201, LOS ANGELES, CA 90025(310) 428-8065 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pacific West Coast Health Medical Therapy Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC. (NPI 1093919615) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since June 2007. The organization lists Larry Wiener, Designated Contact, as its authorized official.

NPPES Registry Identity

NPI1093919615

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePACIFIC WEST COAST HEALTH MEDICAL THERAPY CENTER INC.

Location Address11540 SANTA MONICA BLVD, 201Los Angeles, CA 90025-7905

Mailing Address1441 Westwood Blvd, #eLos Angeles, CA 90024-4938

Phone(310) 428-8065

Organization SubpartNo

Authorized OfficialLarry WienerDesignated Contact · (310) 428-8065

Enumeration DateJune 14, 2007

Last NPPES UpdateOctober 22, 2007

✔ NPI 1093919615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11540 SANTA MONICA BLVD, Los Angeles, CA 90025

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific West Coast Health Medical Therapy Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific West Coast Health Medical Therapy Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Rodney Collins, MD

Psychiatry

NPI 1700879061

8484 WILSHIRE BLVD STE 200
Beverly Hills, CA 90211

(310) 360-7690

✔ PECOS4.6 mi

Susan Massey, A.N.P.

Nurse Practitioner

NPI 1962731240

160 E 34TH ST
New York, NY 10016

(212) 731-5673

✔ PECOS2,463 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific West Coast Health Medical Therapy Center Inc.'s NPI number?

The NPI number for Pacific West Coast Health Medical Therapy Center Inc. is 1093919615. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Pacific West Coast Health Medical Therapy Center Inc. located?

Pacific West Coast Health Medical Therapy Center Inc. is located at 11540 Santa Monica Blvd 201, Los Angeles, CA 90025. The listed phone number is (310) 428-8065.

What is Pacific West Coast Health Medical Therapy Center Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pacific West Coast Health Medical Therapy Center Inc. enrolled in Medicare?

Yes. Pacific West Coast Health Medical Therapy Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific West Coast Health Medical Therapy Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pacific West Coast Health Medical Therapy Center Inc., in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific West Coast Health Medical Therapy Center Inc. was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.