Individual provider Active NPI

Peter John Winkle, MD

  • Gastroenterology Physician
  • Cypress, CA
National Provider Identifier
1992923460
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G70077 Issued in CA
Practice address
11741 Valley View St
A
Cypress, CA 90630-5500
Phone
(714) 897-1071
Fax
(714) 897-0125
NPI assigned
Apr 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G70077 CA
Gastroenterology Physician 207RG0100X G70077 CA 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
000G70077MedicaidCA

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
I20111215000799 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 6103091327 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70077CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agmg Endoscopy Center a General Partnership CurrentSince Nov 7, 2007 Accepting new patients
Associated Gastroenterology Medical Group Gastroenterology CurrentSince Aug 31, 2011 Accepting new patients
Richard J Winkle MD Inc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 301
Anaheim, CA 92801
Phone (714) 284-0737

1211 W La Palma Ave
Ste 306
Anaheim, CA 92801
Phone (714) 778-1300

2617 E Chapman Ave
Orange, CA 92869
Phone (714) 538-6822

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1992923460",
    "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": {
        "last_name": "WINKLE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70077",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G70077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G70077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.