ERIK DOUGLAS WIELE (NPI# 1619405875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619405875 |
| Entity Type | Individual |
| Full Name | ERIK DOUGLAS WIELE |
| Credential | DO |
| Practice Address |
5000 San Bernardino St Montclair CA 91763-2326 |
| Practice Telephone | 9096255411 |
| Mailing Telephone | 9096255411 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A17237 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5673 Florence Ter, Oakland, CA 946112003 | (916) 300-7428 |
| Street Address |
5000 SAN BERNARDINO ST |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749921 | Renaissance Radiology Medical Group, Inc. | Radiology | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2005-11-30 |
| 1669961801 | David Nguyen | Student in an Organized Health Care Education/Training Program | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2018-05-03 |
| 1174051437 | Nageena Potluri | Family Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2017-05-31 |
| 1881122315 | Edward Tsung Lin | Family Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2017-05-29 |
| 1609247683 | Glenn Bryan Morataya | Pharmacist | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2015-10-15 |
| 1639427842 | Montclair Emergency Medical Associates, Inc. | Emergency Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2012-08-17 |
| 1912041013 | Doctors' Hospital Medical Center of Montclair | General Acute Care Hospital | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2007-02-20 |
| 1316044696 | Montclair Emergency Medical Associates | Emergency Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2006-09-20 |
| 1396759643 | Minn Soe | Anesthesiology | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2006-07-29 |
| 1992721161 | Prime Healthcare Services - Montclair, LLC | General Acute Care Hospital | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679769897 | Miguel A Castuera | General Practice | 4451 Holt Blvd, Montclair, CA 91763-4116 | 2007-09-20 |
| 1972891679 | Azita Robati Hassas | General Practice | 5153 Holt Blvd Ste B1, Montclair, CA 91763-4837 | 2011-07-14 |
| 1255639506 | J.singh D.o.,inc | General Practice | 4959 Palo Verde St, Suite 206a-5, Montclair, CA 91763-2331 | 2011-03-10 |
| 1538465141 | Robert F Zager, Md.,pa | General Practice | 1 Bay Ave, 2nd Floor Suite 1, Montclair, NJ 07042-4837 | 2011-01-28 |
| 1811184526 | Carrillo, Urbina & Castuera, Mds Inc | General Practice | 4451 Holt Blvd, Montclair, CA 91763-4116 | 2007-09-26 |
| 1326083981 | Hilarion Cabacungan Dayoan | General Practice | 9057 Central Ave, Montclair, CA 91763-1622 | 2006-06-18 |
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|---|---|---|---|---|
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| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.