Physician Compare National (NPI:1366593949)

HEALTHCARE PROVIDER: KAREN ANNE WESTERMOE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366593949
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092878181
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090115000633
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WESTERMOE
	Individual professional last name
Provider First Name	KAREN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1119 VIA VERDE
	Group Practice or individual's line 1 address
City	SAN DIMAS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917734400
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9095929846
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050099
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN ANTONIO REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050382
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CITRUS VALLEY MEDICAL CENTER-IC CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050146
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050588
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAN DIMAS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y