MR. PAUL K WIELENGA (NPI# 1235267584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235267584 |
| Entity Type | Individual |
| Full Name | MR. PAUL K WIELENGA |
| Credential | RN, MSN, NP |
| Practice Address |
36320 Inland Valley Dr #308 Wildomar CA 92595-7512 |
| Mailing Address |
Po Box 54130 Los Angeles CA 90054-0130 |
| Practice Telephone | 9516007630 |
| Practice Fax Number | 9516007164 |
| Mailing Telephone | 9516873200 |
| Mailing Fax Number | 9516878923 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP 10217 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36320 INLAND VALLEY DR #308 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985569 | Sabry E Bakr | Pediatrics | 36320 Inland Valley Dr, Suite 207, Wildomar, CA 92595-7512 | 2005-07-13 |
| 1144673526 | Murrieta Valley Surgery Center, Inc.a Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 101, Wildomar, CA 92595-7512 | 2016-07-20 |
| 1851633788 | Valley Trauma Associates | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2013-03-18 |
| 1659636892 | Patricia Ann Ford | Dietitian, Registered | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2012-07-12 |
| 1760743454 | Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595 | 2012-05-30 |
| 1235435231 | Marcella Bonnici, M.d. Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2011-02-08 |
| 1104146968 | Michael L Cross Md, A Professional | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2010-06-03 |
| 1437326410 | Shankha Nandi | Internal Medicine | 36320 Inland Valley Dr, Suite 308, Wildomar, CA 92595-7512 | 2008-05-09 |
| 1326113747 | Temecula Valley Radiation Oncology Med Group | Radiology | 36320 Inland Valley Dr, Suite 105, Wildomar, CA 92595-7512 | 2006-11-21 |
| 1639248875 | Leon C Hsu | Pediatrics | 36320 Inland Valley Dr, Suite 208, Wildomar, CA 92595-9547 | 2006-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639709553 | Denisa Pirvu | Nurse Practitioner | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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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.