Individual provider Active NPI

Lori Danielle Winston, M.D.

  • Emergency Medicine Physician
  • Visalia, CA
National Provider Identifier
1083615082
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C54788 Issued in CA
Practice address
520 W Mineral King Ave
Kaweah Delta Health Care District - SSB 5TH Floor
Visalia, CA 93291-6142
Phone
(559) 624-5215
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036112630 IL
Emergency Medicine Physician 207P00000X C54788 CA Primary

Addresses

Primary practice location

520 W Mineral King Ave
Kaweah Delta Health Care District - SSB 5TH Floor
Visalia, CA 93291-6142

Mailing address

146 High Sierra Dr
Exeter, CA 93221-9793
Phone (708) 288-6679

Other names 1

  • Lori Danielle Masterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000397 CA Practitioner - Emergency Medicine 5092760579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C54788CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Kaweah Delta Health Care District CurrentSince Oct 1, 2011 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
On-Site Wound Consultants P.a PastSince Nov 19, 2014 Accepting new patients
Integrated Medical Direction PastSince Jul 1, 2009 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICJAD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1083615082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HIGH SIERRA DR",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932219793",
            "telephone_number": "708-288-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W MINERAL KING AVE",
            "address_2": "KAWEAH DELTA HEALTH CARE DISTRICT - SSB 5TH FLOOR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916142",
            "telephone_number": "559-624-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "LORI",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036112630",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C54788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MASTERSON",
            "middle_name": "DANIELLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.