Active NPI
Wilkes & Shani Medical PC
- Physical Medicine & Rehabilitation Physician
- Westlake Village, CA
National Provider Identifier
1023314531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A85368
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Non-Pharmacy Dispensing Site
- Westlake Village, CA
- NPI 1063786903
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Studio City, CA
- NPI 1538448949
-
- Chiropractor
- Newhall, CA
- NPI 1912151309
-
- Orthopedic Chiropractor
- Conroe, TX
- NPI 1982958666
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.