Active NPI
Todd Alan Winnick, LVN
- Licensed Vocational Nurse
- Los Angeles, CA
National Provider Identifier
1578061602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 197694
- Practice address
- 3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147 - Phone
- (213) 424-2089
- Fax
- (413) 641-3668
- NPI assigned
- Jan 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 197694 | CA | Primary |
Addresses
Primary practice location
3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147
Mailing address
3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147
Phone (213) 424-2089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197694 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1578061602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 WILSHIRE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101147",
"telephone_number": "213-424-2089",
"fax_number": "413-641-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 WILSHIRE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101147",
"telephone_number": "213-424-2089",
"fax_number": "413-641-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNICK",
"first_name": "TODD",
"middle_name": "ALAN",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-23",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "197694",
"primary": true
}
],
"identifiers": [],
"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 Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.