NPIMap

Organization Active NPI

Winn Speech Pathology, a Professional Corporation

  • Speech-Language Pathologist
  • Rolling Hills Estates, CA
National Provider Identifier
1104158252
Registry record updated Apr 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WINN SPEECH PATHOLOGY, A PROFESSIONAL CORPORATION
Practice address
11 Ranchview Rd
Rolling Hills Estates, CA 90274-2433
Phone
(310) 375-2332
Fax
(310) 378-4028
NPI assigned
Jan 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2010

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

Authorized official

Name
Mr. Conrad Warren WinnNPI 1396075032
Title
President
Phone
(310) 375-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

11 Ranchview Rd
Rolling Hills Estates, CA 90274-2433

Mailing address

11 Ranchview Rd
Rolling Hills Estates, CA 90274-2433
Phone (310) 375-2332

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270944000000",
    "number": "1104158252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RANCHVIEW RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742433",
            "telephone_number": "310-375-2332",
            "fax_number": "310-378-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RANCHVIEW RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742433",
            "telephone_number": "310-375-2332",
            "fax_number": "310-378-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN SPEECH PATHOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-04-11",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-375-2332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2010; 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.