Mobile Vascular Resource Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOBILE VASCULAR RESOURCE INC.

Practice address

7345 Topanga Canyon Blvd Unit 130
Canoga Park, CA 91303-1244

Phone

(562) 470-6884

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Winifred Williams, MDNPI 1982788253

Title

Owner

Phone

(562) 470-6884

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Mobile Vascular Resource Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mobile Vascular Resource Inc.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1447734249
  NPD tax ID

Locations

Practitioners 1

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

• Winifred Williams, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1982788253
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1215500038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST # 301A",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-470-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 TOPANGA CANYON BLVD UNIT 130",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "562-470-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VASCULAR RESOURCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-470-6884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "practicefusion",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mobile Vascular Resource Inc.",
            "address_1": "7345 Topanga Canyon Blvd Unit 130",
            "city": "Canoga Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913031244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Miron
• Michael Missirlian
• Neferkaari Mitchell
• Rhiana Mitchell
• Mobar Care
• Mobile Vascular Resource Inc.
• Andres Moctezuma
• Nahid Modabber
• Anoosh Golian Moghaddam, DDS
• Sulmas Mohebi, PHARM. D.

• Internal Medicine Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.