NPIMap

Individual provider Active NPI

Winifred Williams, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1982788253
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70389 Issued in CA
Practice address
7345 Topanga Canyon Blvd Ste 130
Canoga Park, CA 91303-1244
Phone
(323) 434-0434
Fax
(562) 616-6619
NPI assigned
Oct 24, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A70389 CA
Internal Medicine Physician 207R00000X A70389 CA Primary

Addresses

Primary practice location

7345 Topanga Canyon Blvd Ste 130
Canoga Park, CA 91303-1244

Mailing address

3300 E South St Ste 301a
Lakewood, CA 90805-4549
Phone (323) 434-0434

Other identifiers 1

IdentifierTypeStateIssuer
00A703890MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000830 CA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Other (Physician) 2769413947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healthier Lifestyle Medical Group IncGroup PAC ID 1355742453, 6 clinicians

Practice addresses (Care Compare)

350 Arden Ave
Suite 100
Glendale, CA 91203-1110
Phone (818) 906-4466

7345 Topanga Canyon Blvd
Unit 130
Canoga Park, CA 91303-1244
Phone (747) 242-4820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70389CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vascular Resource Inc. Internal Medicine CurrentSince Mar 17, 2022 Accepting new patients
HLMG Pain Management, Inc. CurrentSince Mar 22, 2026 Accepting new patients
Mobile Vascular Resource Inc. Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Crystal Surgical Center Internal Medicine CurrentSince Mar 22, 2026 Accepting new patients
Healthier Lifestyle Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
St Francis Medical Center Past Accepting new patients
Vega Hospice, Inc. PastSince Dec 12, 2022 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Winifred Williams MD Inc, a Professional Corporation Internal Medicine PastSince Apr 13, 2005 Accepting new patients
Ame Medical Group Inc PastSince Jan 1, 2016 Accepting new patients

Locations

7345 Topanga Canyon Blvd
Ste 130
Canoga Park, CA 91303
Phone (562) 470-6884

7345 Topanga Canyon Blvd
Unit 130
Canoga Park, CA 91303
Phone (562) 470-6884

350 Arden Ave
Ste 100
Glendale, CA 91203
Phone (818) 433-8113

350 Arden Ave
Ste 102
Glendale, CA 91203
Phone (818) 846-5428

3300 E South St
Ste 301A
Lakewood, CA 90805

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vega Hospice IncCanoga Park, CA, CCN A01715 Hospice Contracted Managing Employee Dec 12, 2022
Galenus Hospice Care IncArcadia, CA, CCN B21643 Hospice Contracted Managing Employee Mar 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1982788253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 301A",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "323-434-0434",
            "fax_number": "562-616-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 TOPANGA CANYON BLVD STE 130",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "323-434-0434",
            "fax_number": "562-616-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WINIFRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70389",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.