DR. WAYNE R. ANDERSON (NPI# 1316988587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316988587 |
| Entity Type | Individual |
| Full Name | DR. WAYNE R. ANDERSON |
| Credential | M.D. |
| Practice Address |
10862 Calle Verde La Mesa CA 91941-7338 |
| Mailing Address |
File# 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 6196705400 |
| Mailing Telephone | 8587845767 |
| Mailing Fax Number | 8587845933 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G42641 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G426410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902834914 | Wayne Julius Anderson | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2006-06-29 |
| 1619257599 | Wayne S Anderson | Behavioral Analyst | 2325 Nw 114th St, Oklahoma City, OK 73120-7316 | 2011-08-23 |
| 1124251848 | Wayne C. Anderson | Physician Assistant | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2009-08-27 |
| 1396890943 | Wayne Anderson | Anesthesiology | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-24 |
| 1053417840 | Wayne L Anderson | Surgery | 1213 15th Ave W, Suite 200, Williston, ND 58801 | 2006-09-16 |
| 1659481059 | Wayne Clark Anderson | Dentist | 200 Doctors Drive, Suite F, Jacksonville, NC 28546 | 2006-08-30 |
| 1912958414 | Wayne C Anderson | Internal Medicine | 807 N Myrtle Ave, Clearwater, FL 33755-4254 | 2006-05-12 |
| 1679559421 | Wayne E Anderson | Psychiatry & Neurology | 45 Castro St, Suite 225, San Francisco, CA 94114-1010 | 2005-12-22 |
| 1396747515 | Wayne C Anderson | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
| Street Address |
10862 CALLE VERDE |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710962527 | Scripps Clinic Medical Group | Clinic/Center | 10862 Calle Verde, La Mesa, CA 91941-7338 | 2005-12-14 |
| 1598235764 | Christine Ngoc Han | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2018-11-30 |
| 1669924023 | Joanne Meyer | Physician Assistant | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2016-11-01 |
| 1932564309 | Petra Coronado | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2015-12-29 |
| 1245624162 | Diep Ngoc Ho | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-4307 | 2015-03-28 |
| 1538553508 | Fatma V Deif | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2015-03-26 |
| 1679827117 | Ami Bali | Physician Assistant | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2012-11-06 |
| 1871897678 | Antonio Christophy | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2011-01-07 |
| 1215243092 | Ziad Allos | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2010-08-31 |
| 1134388218 | Erick Franklin Huang | Internal Medicine | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| 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 |
|---|---|---|---|---|
| 1922169036 | Patricia K Deckert | Family Medicine | 8911 La Mesa Blvd Ste 101, La Mesa, CA 91942-9000 | 2006-12-12 |
| 1386737773 | Phillip Dickinson | Family Medicine | 8554 La Mesa Blvd, La Mesa, CA 91941 | 2006-09-30 |
| 1609988476 | Joanna D Nawroski-wozniak | Family Medicine | 7339 El Cajon Blvd Ste I, La Mesa, CA 91942-7435 | 2006-08-31 |
| 1013927425 | Flora Ishihara Danque | Family Medicine | 7918 El Cajon Blvd, Suite N322, La Mesa, CA 91942-6719 | 2006-08-08 |
| 1336168418 | Corinne Jean Ancona Young | Family Medicine | 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942-3187 | 2006-07-19 |
| 1104844380 | Joseph P Aiello | Family Medicine | 8875 La Mesa Blvd, La Mesa, CA 91942-5434 | 2006-07-17 |
| 1487672572 | George D Gibson | Family Medicine | 8875 La Mesa Blvd Ste C, La Mesa, CA 91941-5134 | 2006-07-17 |
| 1114944899 | Paula Leibham | Family Medicine | 5525 Grossmont Center Dr Ste 200, La Mesa, CA 91942-3009 | 2006-07-17 |
| 1568435923 | Christine Mae Nordling | Family Medicine | 8881 Fletcher Pkwy Ste 105, La Mesa, CA 91942-3132 | 2006-02-08 |
| 1588642847 | Joseph Aquilina | Family Medicine | 8851 Center Drive Suite 500, La Mesa, CA 91942 | 2006-01-06 |
| Find all providers in LA MESA | ||||
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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.