Wilkes & Shani Medical, P.C

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

WILKES & SHANI MEDICAL, P.C

Practice address

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

Phone

(805) 499-4446

NPI assigned

Jul 23, 2012

Organization subpart

Yes

Parent organization

WILKES & SHANI MEDICAL, P.CAs reported in NPPES

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

Authorized official

Name

Dr. Donnelly R. Wilkes, MD

Title

Medical Director

Phone

(805) 499-4446

Specialties & licenses 1

Addresses

Other names 1

• Shani Clinic Doing business as

Tax ID family

Wilkes Shani Medical PC2 organizations share this tax ID, including this one

Part of

Wilkes Shani Medical PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilkes & Shani Medical PC

  • Non-Pharmacy Dispensing Site
  • Westlake Village, CA
  • NPI 1063786903
  NPD tax ID

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1831444124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "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 & SHANI MEDICAL, P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES & SHANI MEDICAL, P.C",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "DONNELLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-499-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shani Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Janine Weintraub
• Justin White
• WHR Iop LLC
• Margaret Ann Wiesehan, CMT
• Krista Lynn Wildberger, MPT
• Wilkes Family Medicine
• Donnelly Wilkes
• Heather Williams Baumgart, AMFT
• Winfield Medical Solutions
• Marc Stephen Wolford

• Non-Pharmacy Dispensing Site in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.