Individual provider Active NPI

Jeffrey Victor Winston, M.D.

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1316972649
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G49373 Issued in CA
Practice address
1400 N Harbor Blvd Ste 101
Fullerton, CA 92835-4107
Phone
(714) 888-2080
Fax
(714) 888-2099
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G49373 CA Primary

Addresses

Primary practice location

1400 N Harbor Blvd Ste 101
Fullerton, CA 92835-4107

Mailing address

1400 N Harbor Blvd Ste 101
Fullerton, CA 92835-4107
Phone (714) 888-2080

Other identifiers 1

IdentifierTypeStateIssuer
00G493730MedicaidCA

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
I20091105000646 CA Practitioner - Ophthalmology 6608830377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Jeffrey V. Winston, M.D., a Professional Corp.Group PAC ID 4880658558, 7 clinicians

Practice addresses (Care Compare)

1400 N Harbor Blvd
Suite 101
Fullerton, CA 92835-4107
Phone (714) 888-2080

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score
74.81 of 100Reported as group
Quality
95.75
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49373CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey V. Winston, MD a Professional Corp Ophthalmology CurrentSince Jul 16, 2001 Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

1400 N Harbor Blvd
Ste 101
Fullerton, CA 92835
Phone (714) 888-2080

101 Laguna Rd
Ste C
Fullerton, CA 92835
Phone (714) 738-5525

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@jeffreyvwinstonmdfullertonca.compulinkdirect.com

Organizations & group practices 5

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 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1316972649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354107",
            "telephone_number": "714-888-2080",
            "fax_number": "714-888-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354107",
            "telephone_number": "714-888-2080",
            "fax_number": "714-888-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "JEFFREY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G49373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G493730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.