Organization Active NPI

Mark R Winkler MD PA Professional Corporation

  • Internal Medicine Physician
  • Moorpark, CA
National Provider Identifier
1336366202
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G67756 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Mark WinklerNPI 1871568659
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.