WESTSIDE PEDIATRICS, INC.
NPI 1982921508
Clinic/Center in Los Angeles, CA

Active since April 21, 2010CLIA 05D1103864 · Waiver
12301 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90025(310) 500-5546 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Pediatrics, Inc. NPPES

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

WESTSIDE PEDIATRICS, INC. (NPI 1982921508) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Lawrence Ian Kagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1982921508
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWESTSIDE PEDIATRICS, INC.
Location Address12301 WILSHIRE BLVD STE 120Los Angeles, CA 90025-1099
Mailing Address12301 Wilshire Blvd Ste 120Los Angeles, CA 90025-1099 · (310) 500-5546
Organization SubpartNo
Authorized OfficialLawrence Ian KaganOwner · (310) 500-5546
Enumeration DateApril 21, 2010
NPI 1982921508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · A102946
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12301 WILSHIRE BLVD STE 120, Los Angeles, CA 90025

Other Identifiers 1

Other1851562318CA · Personal Npi

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 05D1103864

Westside Pediatrics, Inc · Los Angeles, CA
Active · expires Aug 18, 2027
CLIA Number05D1103864
Laboratory TypePractitioner Other
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorLawrence I. Kagan
Laboratory Phone(310) 979-7337
Laboratory LocationWestside Pediatrics, Inc12301 Wilshire Blvd Suite 120, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
12301 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90025
Pediatrics
12301 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90025
Pediatrics
12301 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90025
Pediatrics
12301 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90025

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 Westside Pediatrics, Inc.'s NPI number?

The NPI number for Westside Pediatrics, Inc. is 1982921508. It was assigned to this organization in the NPPES registry on April 21, 2010.

Where is Westside Pediatrics, Inc. located?

Westside Pediatrics, Inc. is located at 12301 Wilshire Blvd Ste 120, Los Angeles, CA 90025. The listed phone number is (310) 500-5546.

What is Westside Pediatrics, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Westside Pediatrics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1103864) is associated with this NPI, valid through August 18, 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 Westside Pediatrics, Inc. was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.