Wilkes Family Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A85368 Issued in CA

Legal business name

WILKES FAMILY MEDICINE

Practice address

400 S Reino Rd
Suite 200
Newbury Park, CA 91320-4284

Phone

(805) 499-4446

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Dannelle McDermott

Title

Practice Manager

Phone

(805) 499-4446

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1649658683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S REINO RD",
            "address_2": "SUITE 200",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204284",
            "telephone_number": "805-499-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S REINO RD",
            "address_2": "SUITE 200",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204284",
            "telephone_number": "805-499-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "DANNELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "805-499-4446"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A85368",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A85368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin White
• WHR Iop LLC
• Margaret Ann Wiesehan, CMT
• Krista Lynn Wildberger, MPT
• Wilkes & Shani Medical, P.C
• Donnelly Wilkes
• Heather Williams Baumgart, AMFT
• Winfield Medical Solutions
• Marc Stephen Wolford
• Susan Lorraine Woskow, P.T.

• Health Service Clinic/Center in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.