WENDELL MARK STREET (NPI# 1437240314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437240314 |
| Entity Type | Individual |
| Full Name | WENDELL MARK STREET |
| Credential | M.D. |
| Practice Address |
14075 Hesperia Rd Suite 205 Victorville CA 92395-4500 |
| Mailing Address |
109 E 11th St Corona CA 92879-2157 |
| Practice Telephone | 7605963708 |
| Practice Fax Number | 7605963731 |
| Mailing Telephone | 9512731000 |
| Mailing Fax Number | 9512731090 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A43837 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FEDERAL TAX ID | 330619189 | 01 |
| Street Address |
14075 HESPERIA RD SUITE 205 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752778 | Nualhathai Priscilla Songsanand | Ophthalmology | 14075 Hesperia Rd, Ste 101, Victorville, CA 92395-4500 | 2005-07-01 |
| 1245653690 | Cassandra Arthur | Counselor | 14075 Hesperia Rd, Suite Number 105, Victorville, CA 92395-4500 | 2014-01-21 |
| 1851663504 | Avigail Ward | Marriage & Family Therapist | 14075 Hesperia Rd, Suite 105, Victorville, CA 92395-4500 | 2012-01-26 |
| 1942345947 | Daniel Leslie Pletsch | Physician Assistant | 14075 Hesperia Rd, Suite 207, Victorville, CA 92395-4500 | 2007-02-20 |
| 1558440230 | Victorville Hha Services, LLC | Home Health | 14075 Hesperia Rd, Suite 204b, Victorville, CA 92395-4500 | 2006-11-03 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275710964 | Navdeep Loomba Md Inc. | Anesthesiology | 15610 Bear Valley Rd Ste A, Victorville, CA 92395-8822 | 2008-01-25 |
| 1083645832 | Joe Park | Anesthesiology | 15447 W Sand St, Victorville, CA 92392-2904 | 2006-07-06 |
| 1821186776 | Jp Anesthesiology, Inc | Anesthesiology | 15447 W Sand St, Victorville, CA 92392-2904 | 2006-10-10 |
| 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 |
| 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.