Individual provider Active NPI

Ada M Winkielman, MD

  • Dermatopathology Physician
  • Tarzana, CA
National Provider Identifier
1992798870
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A81078 Issued in CA
Practice address
18364 Clark St
Tarzana, CA 91356-3502
Phone
(818) 345-7122
Fax
(818) 345-7448
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X A81078 CA Primary

Addresses

Primary practice location

18364 Clark St
Tarzana, CA 91356-3502

Mailing address

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001421 CA Practitioner - DermatologyPractitioner - Pathology 0345201745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Dermatologic Medical Group IncGroup PAC ID 8527072651, 3 clinicians
Simi Dermatologic Medical Center, IncGroup PAC ID 5193739332, 2 clinicians

Practice addresses (Care Compare)

18364 Clark St
Tarzana, CA 91356-3502
Phone (818) 345-7122

18364 Clark St
Tarzana, CA 91356-3597

2925 Sycamore Dr
Simi Valley, CA 93065-1208
Phone (805) 527-6586

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions510
Removal or shaving of skin growth20
Skin biopsy153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81078CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dermatologic Medical Group, Inc Dermatopathology CurrentSince Oct 3, 2005 Accepting new patients
Simi Dermatologic Medical Center, Inc Dermatopathology CurrentSince Oct 7, 2005 Accepting new patients
J Robert West, M.D., Inc Dermatopathology Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

2925 Sycamore Dr
Ste 203
Simi Valley, CA 93065
Phone (805) 527-6586

18364 Clark St
Ste 105
Tarzana, CA 91356
Phone (818) 345-7122

18364 Clark St
Tarzana, CA 91356
Phone (818) 345-7122

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992798870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18364 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-345-7122",
            "fax_number": "818-345-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKIELMAN",
        "first_name": "ADA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A81078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.