Windy City Medical Clinic Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION

Practice address

500 S 7TH Ave Ste a
Barstow, CA 92311-3057

Phone

(760) 255-2400

Fax

(760) 957-7517

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathy A Alva

Title

Billing Office Manager

Phone

(760) 403-8758

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenna Elaine Baynard-Smith, M.D.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1932195542
  Medicare reassignment Care Compare group
• Kevin A Smith, M.D.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1386630895
  Medicare reassignment Care Compare group
• Norris Morrison Sr., DPM

  • Podiatrist
  • Apple Valley, CA
  • NPI 1790098218

  Single Specialty

  NPD (past)
• Louis C Redix Jr., MD

  • Orthopaedic Surgery Physician
  • Barstow, CA
  • NPI 1215967609
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1164567426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1946",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923121946",
            "telephone_number": "760-255-2400",
            "fax_number": "760-957-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 7TH AVE STE A",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113057",
            "telephone_number": "760-255-2400",
            "fax_number": "760-957-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "ALVA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "760-403-8758",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G778041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann White, PPSP
• Tiffany Marie White, RN
• Jauzlyn Whitt
• Brian Williams
• Sandra D Willliams, PH.D.
• Brenda Wise
• David Wishnewsky
• Karen K Wong
• Jean Jung Woo, N.P.
• Amber Yvonne Woods

• Primary Care Clinic/Center in Barstow, CA
• Providers in Barstow, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.