Active NPI
Mark R Winkler MD PA Professional Corporation
- Internal Medicine Physician
- Moorpark, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G67756
- Legal business name
- MARK R WINKLER MD PA PROFESSIONAL CORPORATION
- Practice address
- 14366 Shawnee St
Moorpark, CA 93021-3569 - Phone
- (818) 882-5375
- NPI assigned
- Apr 20, 2007
- Last updated
- Mar 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Winkler
- Title
- President
- Phone
- (818) 882-5375
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G67756 | CA | Primary |
Addresses
Primary practice location
14366 Shawnee St
Moorpark, CA 93021-3569
Mailing address
14366 Shawnee St
Moorpark, CA 93021-3569
Phone (818) 882-5375
National Provider Directory
National Provider DirectoryLocations
8833 Reseda Blvd
Ste B
Northridge, CA 91324
Phone (818) 701-0551
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.
-
- Internal Medicine Physician
- Moorpark, CA
- NPI 1871568659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1336366202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14366 SHAWNEE ST",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213569",
"telephone_number": "818-882-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14366 SHAWNEE ST",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213569",
"telephone_number": "818-882-5375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK R WINKLER MD PA PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "WINKLER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-882-5375"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G67756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.