Organization Active NPI

Richard J Winkle MD Inc

  • Primary Care Clinic/Center
  • Cypress, CA
National Provider Identifier
1932228764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD J WINKLE MD INC
Practice address
11741 Valley View St
A
Cypress, CA 90630-5500
Phone
(714) 897-1071
Fax
(714) 897-0125
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard John Winkle, MD
Title
Administrator Provider
Phone
(714) 897-1071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11741 Valley View St
A
Cypress, CA 90630-5500

Mailing address

11741 Valley View St
A
Cypress, CA 90630-5500
Phone (714) 897-1071

Other identifiers 1

IdentifierTypeStateIssuer
GR0080880MedicaidCA

Other names 1

  • Eastgate Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

11741 Valley View St
Cypress, CA 90630
Phone (714) 826-3000

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932228764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST",
            "address_2": "A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305500",
            "telephone_number": "714-897-1071",
            "fax_number": "714-897-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST",
            "address_2": "A",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305500",
            "telephone_number": "714-897-1071",
            "fax_number": "714-897-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J WINKLE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINKLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR PROVIDER",
        "authorized_official_telephone_number": "714-897-1071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastgate Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.