ELENITA LUCERO WHEELER (NPI# 1104100197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104100197 |
| Entity Type | Individual |
| Full Name | ELENITA LUCERO WHEELER |
| Credential | M.D. |
| Practice Address |
20800 Sherman Way Winnetka CA 91306-2707 |
| Mailing Address |
20840 Community St Unit 1 Winnetka CA 91306-1500 |
| Practice Telephone | 8188832273 |
| Mailing Telephone | 8187732687 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A60725 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1538130893 | 05 |
| Street Address |
20800 SHERMAN WAY |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538130893 | El Proyecto Del Barrio, Inc | Clinic/Center | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2006-01-26 |
| 1902378862 | Violeta Gallegos | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2018-12-17 |
| 1346788536 | Sihana Rugova | Dentist | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2017-02-07 |
| 1194275925 | Pharmedquest Pharmacy Services | Pharmacy | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2016-10-05 |
| 1962853804 | Veronica Matlock | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2016-06-22 |
| 1376934174 | Tina Donaldson | Emergency Medical Technician, Basic | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2015-02-16 |
| 1811390651 | Frederick Fernandez | Nurse Practitioner | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2014-10-08 |
| 1912346719 | Stanislav Spasov | Dentist | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2013-06-14 |
| 1235400185 | Patricia Najarro | Case Manager/Care Coordinator | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2012-01-24 |
| 1841598307 | Oxana Mejia Silva De Leon | Case Manager/Care Coordinator | 20800 Sherman Way, Winnetka, CA 91306-2707 | 2011-03-08 |
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|---|---|---|---|---|
| 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 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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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.