Organization Active NPI

Terry Winegar MD Inc.

  • Family Medicine Physician
  • El Cajon, CA
National Provider Identifier
1992260954
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TERRY WINEGAR MD INC.
Practice address
255 W Washington Ave
El Cajon, CA 92020-5136
Phone
(619) 444-7454
Fax
(619) 444-4723
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. Terry WinegarNPI 1669406518
Title
MD
Phone
(619) 444-7454

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Preferred Provider Organization 305R00000X

Addresses

Primary practice location

255 W Washington Ave
El Cajon, CA 92020-5136

Mailing address

255 W Washington Ave
El Cajon, CA 92020-5136
Phone (619) 444-7454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214002951 CA Part B Supplier - Clinic/Group Practice 1850639931 Receives reassigned benefits from 1 practitioner
Practice locations: El Cajon, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2166014Terry Winegar MD Inc255 W Washington Avenue, El Cajon, CA 92020Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

255 W Washington Ave
El Cajon, CA 92020
Phone (619) 444-7454

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": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1992260954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205136",
            "telephone_number": "619-444-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W WASHINGTON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205136",
            "telephone_number": "619-444-7454",
            "fax_number": "619-444-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY WINEGAR MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "WINEGAR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-444-7454",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.