WINNETKA MEDICAL GROUP INC (NPI# 1205054434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205054434 |
| Entity Type | Organization |
| Organization Name | WINNETKA MEDICAL GROUP INC |
| Other Organization Name | HEALTH & BEAUTY CLINIC |
| Practice Address |
6742 Winnetka Ave Winnetka CA 91306 |
| Practice Telephone | 8188884063 |
| Practice Fax Number | 8188884064 |
| Mailing Telephone | 8188884063 |
| Mailing Fax Number | 8188884064 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DR. PEZ ABRAHAMS (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8188884063 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | W21706 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Health & Beauty Clinic | Doing Business As Name - Organization |
| Street Address |
6742 WINNETKA AVE |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003040189 | Wilbur Imaging Partners Inc | Clinic/Center | 6742 Winnetka Ave, Winnetka, CA 91306-4348 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1225152952 | Theodorou Professional Dental Corp. | Dentist | 19717 Sherman Way, Canoga Park, CA 91306 | 2007-03-19 |
| Find all providers in zip 91306 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497308787 | Radovic Medical, Sc | Family Medicine | 857 Sheridan Rd, Winnetka, IL 60093-1940 | 2019-07-17 |
| 1508802828 | Adriana J Dangremond | Family Medicine | 750 Green Bay Rd, Winnetka, IL 60093 | 2006-06-22 |
| 1013341155 | Shauna Collins, Md Inc. | Family Medicine | 7657 Winnetka Ave, Suite 344, Winnetka, CA 91306-2677 | 2013-08-26 |
| 1487874988 | Dangremond & Jaharis LLC | Family Medicine | 750 Green Bay Rd, Winnetka, IL 60093 | 2007-04-26 |
| 1538105861 | Steven M Jaharis | Family Medicine | 750 Green Bay Rd, Winnetka, IL 60093-1938 | 2006-06-22 |
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| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.