WEST WILSHIRE FAMILY MEDICAL CENTER INC
NPI 1811387723
Clinic/Center - Health Service in Los Angeles, CA

Q: What is West Wilshire Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since January 30, 2015CLIA 05D2100431 · Waiver

11600 WILSHIRE BLVD, SUITE 416, LOS ANGELES, CA 90025(310) 477-7201(310) 575-0973 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About West Wilshire Family Medical Center Inc NPPES

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

WEST WILSHIRE FAMILY MEDICAL CENTER INC (NPI 1811387723) is a healthcare organization registered as a health service in Los Angeles, California and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Alexandra Divinsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1811387723

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameWEST WILSHIRE FAMILY MEDICAL CENTER INC

Location Address11600 WILSHIRE BLVD, SUITE 416Los Angeles, CA 90025-5781

Mailing AddressPo Box 64455Los Angeles, CA 90064-0455 · (213) 864-8500 · Fax (310) 575-0973

Phone(310) 477-7201

Fax(310) 575-0973

Organization SubpartNo

Authorized OfficialAlexandra DivinskyOwner · (213) 864-8500

Enumeration DateJanuary 30, 2015

Last NPPES UpdateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1811387723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

License✔ Licensed in CA · NP15115

11600 WILSHIRE BLVD, Los Angeles, CA 90025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Wilshire Family Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to West Wilshire Family Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexandra Divinsky, NP

Nurse Practitioner

NPI 1477644185

11600 WILSHIRE BLVD SUITE 420
Los Angeles, CA 90025

(310) 477-7201

✔ PECOS✔ Accepts MedicareSame address

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 05D2100431

West Wilshire Family Medical Center · Los Angeles, CA

Active · expires Aug 13, 2027

CLIA Number05D2100431

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2025

Certificate Expiration DateAugust 13, 2027

Laboratory DirectorMohsen Hamza, MD

Laboratory Phone(310) 477-7201

Laboratory LocationWest Wilshire Family Medical Center11600 Wilshire Blvd Ste 416, Los Angeles, CA 90025

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 West Wilshire Family Medical Center Inc's NPI number?

The NPI number for West Wilshire Family Medical Center Inc is 1811387723. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is West Wilshire Family Medical Center Inc located?

West Wilshire Family Medical Center Inc is located at 11600 Wilshire Blvd Suite 416, Los Angeles, CA 90025. The listed phone number is (310) 477-7201.

What is West Wilshire Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is West Wilshire Family Medical Center Inc enrolled in Medicare?

Yes. West Wilshire Family Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Wilshire Family Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to West Wilshire Family Medical Center Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Wilshire Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2100431) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Wilshire Family Medical Center Inc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.