Win Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100405 Issued in CA

Legal business name

WIN FAMILY MEDICINE INC

Practice address

811 E 11TH St Ste 205
Upland, CA 91786-4872

Phone

(909) 931-5106

Fax

(909) 931-5029

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Sandar Win, MDNPI 1063613578

Title

President

Phone

(909) 931-5106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Sandar Win, M.D

  • Family Medicine Physician
  • Upland, CA
  • NPI 1063613578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1760852966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 205",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-931-5106",
            "fax_number": "909-931-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 205",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-931-5106",
            "fax_number": "909-931-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "WIN",
        "authorized_official_first_name": "SANDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-931-5106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Williams, RN
• Adam Wilson
• Crystal Gisele Wilson
• Micheal Wilson
• Yasmine Wilson
• Sandar Win, M.D
• Laila Windemuth, SCHOOL PSYCHOLOGIST
• Renee Marie Winters, PHD, LMFT
• Lauren Wittenbrock
• Dana Wogahn

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.