Organization Active NPI

Wilkes & Shani Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
National Provider Identifier
1023314531
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A85368 Issued in CA
Legal business name
WILKES & SHANI MEDICAL PC
Practice address
2806 Townsgate Rd
Suite B
Westlake Village, CA 91361-3064
Phone
(805) 494-9977
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donnelly Richard Wilkes
Title
Medical Doctor
Phone
(805) 494-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A85368 CA Primary

Addresses

Primary practice location

2806 Townsgate Rd
Suite B
Westlake Village, CA 91361-3064

Mailing address

2806 Townsgate Rd
Suite B
Westlake Village, CA 91361-3064

Other names 1

  • Shani Clinic Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

960 S Westlake Blvd
Ste 14
Westlake Village, CA 91361
Phone (805) 494-9977

2360 Townsgate Rd
Westlake Village, CA 91361
Phone (805) 494-9977

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1023314531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 TOWNSGATE RD",
            "address_2": "SUITE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 TOWNSGATE RD",
            "address_2": "SUITE B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613064",
            "telephone_number": "805-494-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES & SHANI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "DONNELLY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "805-494-9977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A85368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shani Clinic Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.