DR. WENDELL E WETTSTEIN (NPI# 1871551564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871551564 |
| Entity Type | Individual |
| Full Name | DR. WENDELL E WETTSTEIN |
| Credential | MD |
| Practice Address |
12408 Hesperia Rd Suite 2 Victorville CA 92395-7718 |
| Mailing Address |
12370 Hesperia Rd Suite 6 Victorville CA 92395-7719 |
| Practice Telephone | 7605537000 |
| Mailing Telephone | 7602454747 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G31737 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12408 HESPERIA RD SUITE 2 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125321 | Curtis C Hoggarth | Optometrist | 12408 Hesperia Rd, Suite 7, Victorville, CA 92395-7718 | 2005-06-22 |
| 1538539002 | Erin Hosty Lechner | Registered Nurse | 12408 Hesperia Rd, Suite 2, Victorville, CA 92395-7718 | 2015-09-28 |
| 1841521366 | Christopher Michael Tran | Physician Assistant | 12408 Hesperia Rd, 2, Victorville, CA 92395-7718 | 2010-01-22 |
| 1104155761 | Brent Arthur North | Physician Assistant | 12408 Hesperia Rd, Suite 2, Victorville, CA 92395-7718 | 2009-12-10 |
| 1649506759 | Heritage Victor Valley Medical Group | Non-Pharmacy Dispensing Site | 12408 Hesperia Rd, #2, Victorville, CA 92395-7718 | 2009-10-23 |
| 1831350131 | Tiffany T. Tran | Family Medicine | 12408 Hesperia Rd, Suite 2, Victorville, CA 92395-7718 | 2008-06-19 |
| 1518055490 | Neal S. Blank | Family Medicine | 12408 Hesperia Rd, Suite 2, Victorville, CA 92395-7718 | 2006-10-10 |
| 1285669671 | Michio Abe | Internal Medicine | 12408 Hesperia Rd, Suite 21, Victorville, CA 92395-7718 | 2006-07-12 |
| 1851350771 | Prakash K Yakkundi | Internal Medicine | 12408 Hesperia Rd, Suite 2, Victorville, CA 92395-7718 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942428263 | Dr, Mikel Walk In Clinic | General Practice | 15626 Hesperia Rd, Victorville, CA 92392 | 2007-04-23 |
| 1871513457 | Jesus Francisco Fernandez | General Practice | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2006-07-19 |
| 1093355109 | Bear Valley Clinica Medica Familiar A Medical Corporation | General Practice | 15532 Bear Valley Rd, Victorville, CA 92395-9260 | 2020-01-07 |
| 1821297748 | Kenneth Arthur Rose | General Practice | 12186 Hesperia Rd, Victorville, CA 92395-5822 | 2007-07-11 |
| 1194772202 | Wettstein Sawan Medical Group Inc | General Practice | 12370 Hesperia Rd, Suite 15, Victorville, CA 92395-7719 | 2006-05-27 |
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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 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.