Mobile Vascular Resource Inc.
NPI 1447734249ActiveOrganization· Internal Medicine· Canoga Park, CA
Internal Medicine in Canoga Park, California, registered in NPPES in September 2018. The authorized official on file is Winifred Williams, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447734249 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2018 |
| Last updated in NPPES | Jun 23, 2021 |
| Certified by provider | Jun 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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