ALYSON WENTWORTH (NPI# 1316465214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316465214 |
| Entity Type | Individual |
| Full Name | ALYSON WENTWORTH |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
200 Mercy Circle Oceanside CA 92055 |
| Mailing Address |
Po Box 555191 Camp Pendleton CA 92055-5191 |
| Practice Telephone | 7607254357 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1144384 | 01 |
| Street Address |
200 MERCY CIRCLE |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343384 | Angelique Nicole Barone | Occupational Therapist | 200 Mercy Circle, Naval Hospital Camp Pendleton, Oceanside, CA 92055 | 2020-07-14 |
| 1184250938 | Nicholas Wah Hoo | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2020-03-12 |
| 1295360006 | Gregory Shingyang Zhang | Military Health Care Provider | 200 Mercy Circle, Oceanside, CA 92055 | 2020-03-12 |
| 1043870439 | Jessica Nicole Garrity | Social Worker | 200 Mercy Circle, Oceanside, CA 92055 | 2019-06-18 |
| 1750949657 | Alison Cristina Lam | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2019-06-05 |
| 1962970418 | Edgardo Ramirez Jr. | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2018-11-02 |
| 1275013054 | Andrew D Sinclair | Dentist | 200 Mercy Circle, Oceanside, CA 92055 | 2018-08-21 |
| 1497235931 | Anthony Scopelli | Dentist | 200 Mercy Circle, Oceanside, CA 92055 | 2018-08-15 |
| 1104310879 | Davis Frease | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2018-06-18 |
| 1487148177 | Clayton Franklin Fuqua | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Oceanside, CA 92055 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273617 | Chelsea Marie Ellingson | Physician Assistant | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-07 |
| 1164846747 | Stephen F Funk | Physician Assistant | 3037 David Ct, Oceanside, NY 11572-4415 | 2014-02-18 |
| 1205026861 | Kelly T. Sales | Physician Assistant | 3230 Waring Ct Ste J, Oceanside, CA 92056-4509 | 2007-07-30 |
| 1346306123 | Susan Radoff | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2006-12-28 |
| 1326076043 | Michelle F. Buxton | Physician Assistant | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2006-06-29 |
| 1831135409 | Don Juan Ortiz | Physician Assistant | 465 College Blvd., Ste. 1, Oceanside, CA 92057 | 2006-06-21 |
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1194223834 | Waqas Ali | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-01-29 |
| 1972027092 | Shanelle Tashae Graham | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-07-31 |
| 1912378332 | Taera Young Felkins | Physician Assistant | 605 Crouch St, Oceanside, CA 92054-4415 | 2015-10-12 |
| Find all providers in OCEANSIDE | ||||
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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.