WESTSIDE HEAD & NECK
NPI 1508174871
Otolaryngology in Culver City, CA
About Westside Head & Neck NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTSIDE HEAD & NECK (NPI 1508174871) is a healthcare organization registered as an otolaryngology in Culver City, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Michelle Ann Putnam, General Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Westside Head & Neck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Westside Head & Neck, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2040421
Westside Head And Neck · Culver City, CAFrequently 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 Westside Head & Neck's NPI number?
The NPI number for Westside Head & Neck is 1508174871. It was assigned to this organization in the NPPES registry on September 20, 2010.
Where is Westside Head & Neck located?
Westside Head & Neck is located at 3831 Hughes Ave Suite 504, Culver City, CA 90232. The listed phone number is (310) 204-4111.
What is Westside Head & Neck's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Westside Head & Neck enrolled in Medicare?
Yes. Westside Head & Neck is registered in the Medicare PECOS enrollment system.
When is Westside Head & Neck's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Westside Head & Neck?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Otolaryngology, reassign their Medicare billing to Westside Head & Neck. 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, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Westside Head & Neck hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2040421) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Westside Head & Neck was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Westside Head & Neck · NPI 1508174871
Otolaryngology organization in Culver City, California. Organization record, active in the CMS NPPES registry since September 20, 2010.
## Identity
- **NPI:** 1508174871 (Entity type: Organization)
- **Enumerated:** September 20, 2010
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Michelle Putnam, GENERAL PARTNER
## Practice location
- **Address:** 3831 HUGHES AVE, SUITE 504, Culver City, CA 90232-2751
- **Phone:** (310) 204-4111 · **Fax:** (310) 204-4474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Otolaryngology) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2012
- **Other identifiers:** Medicare PIN FA716A; Other DR6472
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508174871) · Data from the CMS NPPES public registry.