WILKES FAMILY MEDICINE NPI 1649658683

NPI Information

NPI: 1649658683
Provider Name: WILKES FAMILY MEDICINE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
400 S REINO RD
SUITE 200
NEWBURY PARK, CA
ZIP 91320
Phone: (805) 499-4446
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WILKES FAMILY MEDICINE is a health service clinic center in Newbury Park, CA. WILKES FAMILY MEDICINE NPI is 1649658683. The provider is registered as an organization entity type.

The provider's business location address is:

400 S REINO RD
SUITE 200
NEWBURY PARK, CA
ZIP 91320-284
Phone: (805) 499-4446

The provider's authorized official is Dannelle Mcdermott .
The authorized official title is Practice Manager and has the following contact phone number (805) 499-4446.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site		A85368	CALIFORNIA	No
2	261QH0100X	Clinic/Center	Health Service	A85368	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BY173A	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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