WENDELL MARK STREET, M.D., INC


Address: 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854
Phone: 9516401230

WENDELL MARK STREET, M.D., INC (NPI# 1902084783) 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) 1902084783
Entity Type Organization
Organization Name WENDELL MARK STREET, M.D., INC
Practice Address 11332 Mountain View Ave
Suite A
Loma Linda
CA 92354-3854
Mailing Address 17868 Us Highway 18
Apple Valley
CA 92307-1267
Practice Telephone 9516401230
Practice Fax Number 9519242535
Mailing Telephone 9516401230
Mailing Fax Number 9519242535
Enumeration Date 2008-02-04
Last Update Date 2008-02-04
Authorized Official Name DR. WENELL MARK STREET (OWNER/MEDICAL DIRECTOR)
Authorized Official Telephone 9516401230
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
A43837 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 11332 MOUNTAIN VIEW AVE
SUITE A
City LOMA LINDA
State CA
Zip Code 92354-3854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770525693 Anupam Marwaha Internal Medicine 11332 Mountain View Ave, Suite Number D, Loma Linda, CA 92354-3854 2006-06-12
1245763432 Joshua Strunk Student in an Organized Health Care Education/Training Program 11332 Mountain View Ave, Westerly Bldg.,suite 'c', Loma Linda, CA 92354-3854 2017-04-05
1912294711 Michael Lynn Collins Podiatrist 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 2011-06-30
1093968117 Barry Young Podiatrist 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 2008-11-03
1063692283 Mariam Amiri Clinic/Center 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 2007-11-05
1093826539 Mariam Shanaz Amiri Podiatrist 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 2006-08-31
1497769731 Mariam Amiri Podiatrist 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 2006-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264337 Apple Red Nutrition Services Dietitian, Registered 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 2020-10-30
1013517960 Kristina Pulliam Markey Nurse Practitioner 11234 Anderson Strreet, Loma Linda, CA 92354 2020-10-29
1932725645 Dev Priya Singhvi Student in an Organized Health Care Education/Training Program 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 2020-06-18
1750901278 Angela N Torres Student in an Organized Health Care Education/Training Program Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 2020-04-24
1548899230 Holistic Physical Therapy Inc. Physical Therapist 25003 Starr Str, Loma Linda, CA 92354 2020-04-03
1508494071 Eric Allen Student in an Organized Health Care Education/Training Program Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 2020-03-31
1730640244 Rose Valley Rcfe Assisted Living Facility 11574 Poplar St, Loma Linda, CA 92354 2019-03-27
1336633676 David A Lawrence Student in an Organized Health Care Education/Training Program Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 2018-06-20
1205329547 Rachael Nicole Spady Student in an Organized Health Care Education/Training Program Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 2018-06-12
1447756069 Anthony Ernest Sanchez Otolaryngology 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 2018-04-03
Find all providers in zip 92354

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164657771 Baher Boctor Anesthesiology 11234 Anderson St, Loma Linda, CA 92354-2804 2009-05-27
1356353247 Leonard J Soloniuk Anesthesiology 11234 Anderson St Rm 2532, Loma Linda, CA 92354-2804 2006-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912512567 Clinicas Del Valle, Inc Anesthesiology 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 2020-09-10
1609489418 Cyrus Dadachanji Md Inc. Anesthesiology 34762 Midland Ave, Murrieta, CA 92563-8419 2020-08-31
1962050401 Sky Anesthesia Inc. Anesthesiology 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 2019-08-28
1932671856 North County Pain Institute Anesthesiology 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 2018-12-18
1285101824 16th Street Anesthesia Services Corp Anesthesiology 2323 16th St Ste 507, Bakersfield, CA 93301-3454 2018-11-01
1033697305 Heyer Anesthesia PC Anesthesiology 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 2018-07-30
1982190229 Algos Inc., A Medical Corporation Anesthesiology 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 2018-07-10
1093200610 Kevin Dinh Trinh, Md Inc. Anesthesiology 100 Fieldwood, Irvine, CA 92618 2018-06-26
1033616644 Howard Siegel Md Inc Anesthesiology 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 2018-04-10
1780198952 Unified Physician Associates Inc Anesthesiology 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 2017-11-27
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Competitor

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City LOMA LINDA
Zip Code 92354

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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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