Community Pediatric Clinic, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A050311 Issued in CA

Legal business name

COMMUNITY PEDIATRIC CLINIC, INC.

Doing business as

Heidi Winkler MD - Pediatrics

Practice address

10210 Orr and Day Rd Ste a
Santa Fe Springs, CA 90670-3581

Phone

(562) 864-4000

Fax

(562) 864-4001

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Winkler, MDNPI 1265456636

Title

President

Phone

(562) 864-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heidi Winkler MD - Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Winkler, M.D.

  • Pediatrics Physician
  • Santa Fe Springs, CA
  • NPI 1265456636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1598075442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1496",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201496",
            "telephone_number": "562-864-4000",
            "fax_number": "562-864-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 ORR AND DAY RD STE A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703581",
            "telephone_number": "562-864-4000",
            "fax_number": "562-864-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PEDIATRIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-864-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A050311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A503114",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heidi Winkler MD - Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heidi Winkler MD - Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.