Active NPI
Gary Allyn Winston, MD
- Pediatrics Physician
- Benicia, CA
National Provider Identifier
1033144423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G30331
- Practice address
- 1075 1St St
Benicia, CA 94510 - Phone
- (707) 745-2574
- Fax
- (707) 745-8269
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G30331 | CA | Primary |
Addresses
Primary practice location
1075 1St St
Benicia, CA 94510
Mailing address
1098 Bath Lane
Ventura, CA 93001
Phone (707) 745-2574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30331 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
| University of California San Francisco | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1740311737
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1033144423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 BATH LANE",
"city": "VENTURA",
"state": "CA",
"postal_code": "93001",
"telephone_number": "707-745-2574",
"fax_number": "707-745-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 1ST ST",
"city": "BENICIA",
"state": "CA",
"postal_code": "94510",
"telephone_number": "707-745-2574",
"fax_number": "707-745-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTON",
"first_name": "GARY",
"middle_name": "ALLYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G30331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.