NPIMap

Organization Active NPI

Travis Winsor M D Incorporated

  • Nuclear Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1235444357
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
G15320 Issued in CA
Legal business name
TRAVIS WINSOR M D INCORPORATED
Practice address
2131 W 3Rd St
St. Vincent Medical Center Dept. of Nuclear Medicine
Los Angeles, CA 90057-1901
Phone
(213) 484-7248
Fax
(213) 484-7444
NPI assigned
Aug 12, 2010
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. David Wiley Winsor, M.D.NPI 1710092580
Title
President
Phone
(213) 484-7248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207U00000X G15320 CA Primary

Addresses

Primary practice location

2131 W 3Rd St
St. Vincent Medical Center Dept. of Nuclear Medicine
Los Angeles, CA 90057-1901

Mailing address

2131 W 3Rd St
St. Vincent Medical Center Dept. of Nuclear Medicine
Los Angeles, CA 90057-1901
Phone (213) 484-7248

Other identifiers 1

IdentifierTypeStateIssuer
00G153200MedicaidCA

National Provider Directory

National Provider Directory

Locations

2131 W 3rd St
#C
Los Angeles, CA 90057
Phone (213) 484-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1235444357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "address_2": "ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7248",
            "fax_number": "213-484-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "address_2": "ST. VINCENT MEDICAL CENTER DEPT. OF NUCLEAR MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7248",
            "fax_number": "213-484-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS WINSOR M D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "WINSOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-7248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G15320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G153200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.