DR. JAY WOHLGEMUTH (NPI# 1043580921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043580921 |
| Entity Type | Individual |
| Full Name | DR. JAY WOHLGEMUTH |
| Practice Address |
33608 Ortega Hwy San Juan Capistrano CA 92675-2042 |
| Practice Telephone | 9497284271 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A69610 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
33608 ORTEGA HWY |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891744520 | Stanley J Naides | Internal Medicine | 33608 Ortega Hwy, Immunology 101a, San Juan Capistrano, CA 92675-2042 | 2006-05-09 |
| 1336450113 | Michael E Van Ness | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2010-06-28 |
| 1700016813 | Weidong Zhou | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2009-07-23 |
| 1437393188 | Zhong Zhang | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2009-04-24 |
| 1831344845 | Kathleen Ann Lynch | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2008-11-19 |
| 1053505743 | Sally S Agersborg | Pathology | 33608 Ortega Hwy, Bldg A, San Juan Capistrano, CA 92675-2042 | 2007-09-05 |
| 1083770440 | Jon Masao Nakamoto | Pediatrics | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-12-29 |
| 1063593473 | Maher Albitar | Clinical Medical Laboratory | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-10-19 |
| 1972697233 | Charles Martin Strom | Pediatrics | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2006-10-03 |
| 1780620526 | Quest Diagnostics Nichols Institute | Clinical Medical Laboratory | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1578749271 | Robert R Paredes Sr. | General Practice | 31411 Camino Capistrano, Suite 100, San Juan Capistrano, CA 92675 | 2008-01-14 |
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| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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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.