Wilkes & Shani Medical PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

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

Feb 23, 2012

Organization subpart

Yes

Parent organization

WILKES & SHANI MEDICAL PCAs reported in NPPES

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

Authorized official

Name

Dr. Donnelly Wilkes, MD

Title

Medical Director

Phone

(805) 494-9977

Specialties & licenses 1

Addresses

Other names 1

• Shani Clinic Doing business as

Tax ID family

Wilkes Shani Medical PC2 organizations share this tax ID, including this one

Part of

Wilkes Shani Medical PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilkes & Shani Medical, P.C

  • Non-Pharmacy Dispensing Site
  • Newbury Park, CA
  • NPI 1831444124
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wilkes & Shani Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
  • NPI 1023314531
  NPPES parent name

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1063786903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "WILKES & SHANI MEDICAL PC",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "DONNELLY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-494-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shani Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Lee Whitney, PH.D.
• Whole Health Medical Solutions, P.C
• Wichita 1859, LLC
• Kimberly Jane Wick, LMFT
• Wilkes & Shani Medical PC
• William J. Fisher, M.D., Facs, Inc.
• Joshua J Williams, PSY.D.
• Nichole Williams, M.A., BCBA
• Troy Christopher Williams, M.D.
• Hayley Marie Willis, AMFT

• Non-Pharmacy Dispensing Site in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.