Dane Winkelman III

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G27167 Issued in CA

Practice address

39346 Prospect Dr.
Forest Falls, CA 92339

Phone

(909) 208-0930

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lancaster OB Hospitalists

  • Obstetrics & Gynecology Physician
  • Lancaster, CA
  • NPI 1790841807
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1720145790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39346 PROSPECT DR.",
            "city": "FOREST FALLS",
            "state": "CA",
            "postal_code": "92339",
            "telephone_number": "909-208-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39346 PROSPECT DR.",
            "city": "FOREST FALLS",
            "state": "CA",
            "postal_code": "92339",
            "telephone_number": "909-208-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELMAN",
        "first_name": "DANE",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G27167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G271670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Alvillar Eulberg, MPT
• John Leonard Millhollon-Turner, PH. D., RN
• John Joseph O'Neill III, FNP
• Robin Louise Shearer, LMFT

• Obstetrics & Gynecology Physician in Forest Falls, CA
• Providers in Forest Falls, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.