WENDELL S. WHARTON JR. (NPI# 1346232311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346232311 |
| Entity Type | Individual |
| Full Name | WENDELL S. WHARTON JR. |
| Credential | P.A. |
| Practice Address |
4204 Agnes Avenue Lynwood CA 90262 |
| Mailing Address |
4202 Agnes Avenue Lynwood CA 90262 |
| Practice Telephone | 3106080477 |
| Practice Fax Number | 3106082657 |
| Mailing Telephone | 3106080477 |
| Mailing Fax Number | 3106082657 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 10547 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 10547 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10547 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4204 AGNES AVENUE |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233229 | Emade Sylvie Njie | Physician Assistant | 4267 Carlin Ave Apt 14, Lynwood, CA 90262-5326 | 2020-01-02 |
| 1083982995 | Donald Plong | Physician Assistant | 11215 Long Beach Blvd, Lynwood, CA 90262-4292 | 2011-12-06 |
| 1558648550 | Shane Manalang | Physician Assistant | 3625 Martin Luther King Jr Blvd Ste 5, Lynwood, CA 90262-3509 | 2011-11-04 |
| 1053516187 | Duy Tu Doan | Physician Assistant | 10007 State Street, Lynwood, CA 90262 | 2007-06-19 |
| 1811535222 | Jonathan Jinesta | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2019-12-16 |
| 1710473640 | Victoria Le | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262 | 2018-07-03 |
| 1881186955 | Carin Montelongo | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2018-06-04 |
| 1588152326 | Nicole Doran | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2018-04-26 |
| 1902324478 | Blythe Redman | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2017-09-05 |
| 1295289262 | Susanne Bruneau | Physician Assistant | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2016-08-08 |
| Find all providers in LYNWOOD | ||||
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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.