Individual provider Active NPI

David Wiley Winsor, M.D.

  • Nuclear Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1710092580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
G15320 Issued in CA
Practice address
2131 W 3Rd St
St Vincent Medical Center Dept of Nuclear Medicine
Los Angeles, CA 90057-1901
Phone
(213) 484-7991
Fax
(213) 484-7444
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X G15320 CA Primary

Addresses

Primary practice location

2131 W 3Rd St
St Vincent Medical Center Dept of Nuclear Medicine
Los Angeles, CA 90057-1901

Mailing address

2131 W 3Rd St
St Vincent Medical Center Dept of Nuclear Medicine
Los Angeles, CA 90057-1901
Phone (213) 484-7991

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G15320CAMDNuclear Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710092580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "address_2": "ST VINCENT MEDICAL CENTER DEPT OF NUCLEAR MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7991",
            "fax_number": "213-484-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 W 3RD ST",
            "address_2": "ST VINCENT MEDICAL CENTER DEPT OF NUCLEAR MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571901",
            "telephone_number": "213-484-7991",
            "fax_number": "213-484-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "DAVID",
        "middle_name": "WILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G15320",
            "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 8, 2007; 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.