DR. WENDELL HARRY (NPI# 1508956889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508956889 |
| Entity Type | Individual |
| Full Name | DR. WENDELL HARRY |
| Credential | M.D. |
| Practice Address |
1441 Constitution Blvd Salinas CA 93906-3100 |
| Mailing Address |
Po Box 2879 Salinas CA 93902-2879 |
| Practice Telephone | 8317554111 |
| Mailing Telephone | 8317556334 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2017-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
A62779 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENSE | A62779 | 01 |
| Street Address |
1441 CONSTITUTION BLVD |
| City | SALINAS |
| State | CA |
| Zip Code | 93906-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142270 | Eric S Parsons | Family Medicine | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2005-08-26 |
| 1043832512 | Lee-ana Guzman Hardy | Nurse Anesthetist, Certified Registered | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2020-05-07 |
| 1457983801 | Megan Fulton | Nurse Anesthetist, Certified Registered | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2020-02-04 |
| 1770122632 | Sarah Lillian Hall | Social Worker | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-12-24 |
| 1598319709 | Candace Pincus | Nurse Practitioner | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-07-25 |
| 1821659467 | Tatiana Trindade Nava | Speech-Language Pathologist | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-06-25 |
| 1508426420 | Kuong Ngann Do Corp | Surgery | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-06-13 |
| 1841855764 | Stephen James Matzat | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
| 1528623444 | Jasmine Kaur Garcha | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
| 1811552730 | Gabriel Flores Jr. | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618883 | Casandra Andrea Gonzales | Case Manager/Care Coordinator | 1441 Constitution Blvd Building 400 Suite 202, Salinas, CA 93906 | 2020-08-05 |
| 1033730734 | Georgina Rodriguez | Behavioral Analyst | 1441 Constituion Blvd Bldg 400, Suite 202, Salinas, CA 93906 | 2020-05-04 |
| 1083252589 | Diane M Cassam | Marriage & Family Therapist | 1441 Constitution Blvd., Bldg. 400, Suite 200, Salinas, CA 93906 | 2019-12-16 |
| 1558849349 | Heather Lynne Rogers | Counselor | 1441 Constitution Blvd., Bldg. 400, Ste 202, Salinas, CA 93906 | 2018-08-02 |
| 1053897462 | Mayra Lizeth Barocio | Counselor | 1441 Constitution Blvd Bldg 4002, Salinas, CA 93906 | 2018-07-18 |
| 1720571425 | Ashley A Rangel | Behavior Technician | 1123 Baldwin St., Salinas, CA 93906 | 2018-06-07 |
| 1013419597 | Sean Crow | Behavior Technician | 1123 Baldwin, Salinas, CA 93906 | 2018-03-01 |
| 1942720164 | Joshua Lawrence Deutsch | Student in an Organized Health Care Education/Training Program | 1441 Constutution Blvd, Blg 400, Third Floor, Salinas, CA 93906 | 2017-06-20 |
| 1679014450 | Chris Moreno | Counselor | 1127 Baldwin St., Suite A, Salinas, CA 93906 | 2017-03-14 |
| 1295101657 | Craig Varjian | Dentist | 640 E. Alvin Drive, Suite D, Salinas, CA 93906 | 2015-08-19 |
| Find all providers in zip 93906 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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|---|---|---|---|---|
| 1821617978 | St. Joseph Home Care Network | Family Medicine | 447 College Ave, Santa Rosa, CA 95401-5141 | 2020-04-09 |
| 1639704604 | Rose Desert Hospice | Family Medicine | 42156 10th St W Ste 106, Lancaster, CA 93534-7025 | 2020-03-10 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1083145247 | Michael J Cortez Md Inc | Family Medicine | 826 Alberta St, Altadena, CA 91001-5322 | 2017-03-21 |
| 1760735492 | Devader Medical & Research Group,inc. | Family Medicine | 175 N Redwood Dr, Suite 275, San Rafael, CA 94903-1972 | 2012-10-18 |
| 1306197520 | Eunice Kim | Family Medicine | 25941 Campo Cv, Loma Linda, CA 92354-6531 | 2012-09-27 |
| 1114155215 | Mook-lan Sauvignon Iglowitz | Family Medicine | 4150 V Street Suite 3400, Palliative Care Department, Sacramento, CA 95817 | 2009-06-26 |
| 1063672244 | Satya Chelamkuri | Family Medicine | El Camino Hospital, 2500 Grant Road, Mountain View, CA 94040 | 2008-06-11 |
| 1053528455 | Richard Marc Goldstein | Family Medicine | 1920 E Katella Ave Ste U, Orange, CA 92867-5146 | 2007-05-16 |
| 1386866689 | Michelle A Thomas Md Inc | Family Medicine | 6061 N First, Suite 102, Fresno, CA 93729 | 2007-05-03 |
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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.