DOUGLAS JAMES WISE


Address: 40285 Winchester Rd, #103, Temecula, CA 92591-5547
Phone: 9512965844

DOUGLAS JAMES WISE (NPI# 1568542363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568542363
Entity Type Individual
Full Name DOUGLAS JAMES WISE
Credential D.O.
Practice Address 40285 Winchester Rd
#103
Temecula
CA 92591-5547
Practice Telephone 9512965844
Practice Fax Number 9512965840
Mailing Telephone 9512965844
Mailing Fax Number 9512965840
Enumeration Date 2006-10-16
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 20A5399 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00AX53990 05

Office Location

Street Address 40285 WINCHESTER RD
#103
City TEMECULA
State CA
Zip Code 92591-5547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477543353 David E. Smith Dentist 40285 Winchester Rd, Suite 101, Temecula, CA 92591-5547 2005-10-24
1497140529 Jose L. Garcia Dds, Ms, Apdc Dentist 40285 Winchester Rd, Suite 101, Temecula, CA 92591-7503 2015-04-06
1124395686 David Zebrack Do Inc Family Medicine 40285 Winchester Rd, Suite 103, Temecula, CA 92591-5547 2011-11-28
1588840771 Michael David Schmitt Sr. Audiologist 40285 Winchester Rd, Suite 104, Temecula, CA 92591-7503 2008-01-17
1457496317 Smith & Garcia Orthodontics A Partnership of Corporations Dentist 40285 Winchester Rd, Suite 101, Temecula, CA 92591-5547 2007-02-20
1841338480 Krishna Vasant Clinic/Center 40285 Winchester Rd, Suite 102, Temecula, CA 92591-5547 2007-02-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255978961 Kendall Leeanne Mattix Behavior Technician 26720 Ynez Court, Temecula, CA 92591 2019-12-02
1457915167 Janice Marie Vevoda-aguero Registered Nurse 31233 Skyline Drive, Temecula, CA 92591 2019-04-29
1689151698 David W Schwartz Md A Medical Corporation Preferred Provider Organization 29645 Rancho California Rd Ste 105, Temecula, CA 92591 2018-07-23
1356830426 Luxottica Retail North America, Inc Eyewear Supplier (Equipment, not the service) 40780 Winchester Rd, Temecula, CA 92591 2018-05-04
1780196428 Shirley K Wade Case Manager/Care Coordinator 40925 County Circle Drive, Temecula, CA 92591 2017-11-03
1639691405 Angela Parry Counselor 29645 Rancho California Rd # 133c, Temecula, CA 92591 2017-07-12
1386166395 Jonathan James Creech Optometrist 41257 Magarita Road, Suite B 103, Temecula, CA 92591 2017-07-11
1730600743 Rachel Michele Brannigan Specialist/Technologist 39522 Seraphina Rd, Temecula, CA 92591 2017-06-29
1457890303 Kala Chrisilis Earley Specialist/Technologist 29004 Bridgehampton Rd, Temecula, CA 92591 2017-02-13
1114464823 Danielle Sasha Gonzalez Counselor 41002 County Circle Dr., Temecula, CA 92591 2017-01-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306362629 Vitality Medical Group PC Family Medicine 27699 Jefferson Ave Ste 206, Temecula, CA 92590-2696 2017-08-17
1053751941 Temecula Medical Group Inc Family Medicine 44054 Margarita Rd Ste 1, Temecula, CA 92592-2737 2013-06-25
1811280290 Sunrise Complementary Medical Center Family Medicine 41661 Enterprise Cir N Ste 113, Temecula, CA 92590-5629 2011-05-18
1316275084 Mobile Swallow Evals, Inc. Family Medicine 29645 Rancho Calif. Rd, #101, Temecula, CA 92591 2009-11-18
1780917666 Jay A. Ferns D.o. A Professional Medical Corp. Family Medicine 29738 Rancho California Road, Suite B, Temecula, CA 92591 2009-09-10
1487893483 Dennis Keith Miller Family Medicine 27520 Ynez Rd, C5, Temecula, CA 92591-4650 2009-02-13
1568633246 The Mcdonald Clinic Inc Family Medicine 31493 Rancho Pueblo Rd., Suite #107, Temecula, CA 92592-4832 2008-03-20
1033323746 Temecula Valley Family Physicians Inc. Family Medicine 31720 Temecula Pkwy Ste 203, Temecula, CA 92592-5895 2007-05-10
1053530428 Humberto S Aragon Family Medicine 41750 Winchester Rd., Ste. N, Temecula, CA 92590-4898 2007-04-24
1134249345 Sylvia A Gisi, M.d. Inc. Family Medicine 31493 Rancho Pueblo Rd Ste 204, Temecula, CA 92592-4833 2007-03-30
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City TEMECULA
Zip Code 92591

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Dataset Information

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.

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