Organization Active NPI

Winifred Williams MD Inc, a Professional Corporation

  • Internal Medicine Physician
  • Gardena, CA
National Provider Identifier
1841485752
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70389 Issued in CA
Legal business name
WINIFRED WILLIAMS MD INC, A PROFESSIONAL CORPORATION
Practice address
1141 W Redondo Beach Blvd
Suite 302
Gardena, CA 90247-3583
Phone
(310) 329-4300
Fax
(310) 329-4309
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mrs. Winifred Williams, M.D.NPI 1982788253
Title
Physician
Phone
(310) 329-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A70389 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A70389 CA

Addresses

Primary practice location

1141 W Redondo Beach Blvd
Suite 302
Gardena, CA 90247-3583

Mailing address

1141 W Redondo Beach Blvd
Suite 302
Gardena, CA 90247-3583
Phone (310) 329-4300

Other identifiers 1

IdentifierTypeStateIssuer
00A703890MedicaidCA

National Provider Directory

National Provider Directory

Locations

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247
Phone (310) 532-8124

1251 W Redondo Beach Blvd
Fl 1
Gardena, CA 90247
Phone (310) 329-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1841485752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 302",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473583",
            "telephone_number": "310-329-4300",
            "fax_number": "310-329-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE 302",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473583",
            "telephone_number": "310-329-4300",
            "fax_number": "310-329-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINIFRED WILLIAMS MD INC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-329-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70389",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.