WAYNE DOUGLAS WIGHTMAN (NPI# 1356599963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356599963 |
| Entity Type | Individual |
| Full Name | WAYNE DOUGLAS WIGHTMAN |
| Credential | MD |
| Practice Address |
23456 Hawthorne Blvd Suite 160 Torrance CA 90505-4716 |
| Practice Telephone | 3103752705 |
| Practice Fax Number | 3103752701 |
| Mailing Telephone | 3103752705 |
| Mailing Fax Number | 3103752701 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A25658 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23456 HAWTHORNE BLVD SUITE 160 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306498 | Travis J Mckay | Physical Therapist | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2005-09-13 |
| 1891303970 | Katherine Maureen Fester | Physical Therapist | 23456 Hawthorne Blvd, #200, Torrance, CA 90505 | 2020-07-15 |
| 1184240509 | Ariel Guerrero | Radiologic Technologist | 23456 Hawthorne Blvd, Suite 200, Torrance, CA 90505 | 2020-06-22 |
| 1013389253 | Nuvayda, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 260, Torrance, CA 90505-4716 | 2015-10-27 |
| 1780075119 | Sanaz Hamzehpour Dds, Inc. | Dentist | 23456 Hawthorne Blvd, Suite 210, Torrance, CA 90505-4716 | 2015-02-06 |
| 1538569207 | Cutting Edge Surgery Center, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 130, Torrance, CA 90505 | 2014-08-29 |
| 1548674138 | Sas Surgery Center, LLC | Clinic/Center | 23456 Hawthorne Blvd, Suite 110, Torrance, CA 90505-4716 | 2014-06-12 |
| 1922418870 | Kenneth K. Park, M.d., Inc. | Non-Pharmacy Dispensing Site | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2014-04-30 |
| 1952731333 | Pinky Portia Tsotesi | Physical Therapy Assistant | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 | 2013-11-20 |
| 1811237456 | Franklin Alexander Ortiz | Specialist | 23456 Hawthorne Blvd, Torrance, CA 90505-4716 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245473 | Brian Yunon Feng | Emergency Medicine | 4820 Highgrove Ave, Torrance, CA 90505-5522 | 2015-05-26 |
| 1174918460 | David William White Jr. | Emergency Medicine | 1000 W Carson St Bldg D9, Torrance, CA 90502-2004 | 2015-04-02 |
| 1235363193 | Ana Lopez-o'sullivan | Emergency Medicine | 3105 Lomita Blvd, Torrance, CA 90505-5108 | 2009-05-07 |
| 1881883502 | Nichole Bosson | Emergency Medicine | 1000 W Carson Street Bldg D-9, Harbor Ucla, Torrance, CA 90502 | 2007-10-18 |
| 1164614970 | Clifford T Wang | Emergency Medicine | 4101 Torrance Blvd - Em Dept, Torrance, CA 90503-4607 | 2007-08-15 |
| 1144294927 | Diane Gilliland | Emergency Medicine | 1000 W Carson St # 21, Torrance, CA 90502-2004 | 2006-02-16 |
| 1992230403 | Michael Ghermezi | Emergency Medicine | 1000 W Carson St, Torrance, CA 90502-2004 | 2017-04-23 |
| 1922532720 | Alexander Grohmann | Emergency Medicine | 1000 W Carson St, Building D-9 (box 21) Torrance, Cal, Torrance, CA 90502-2004 | 2017-04-18 |
| 1740721679 | Fardis Tavangary | Emergency Medicine | 1000 W Carson St, Torrance, CA 90502-2059 | 2017-03-10 |
| 1023463734 | Nicholas Saade | Emergency Medicine | 4101 Torrance Blvd, Torrance, CA 90503-4607 | 2016-05-01 |
| Find all providers in TORRANCE | ||||
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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.