DR. JESSE RYAN WYATT


Address: 300 Hillmont Ave, Ventura, CA 93003
Phone: 8056526000

DR. JESSE RYAN WYATT (NPI# 1508205154) 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) 1508205154
Entity Type Individual
Full Name DR. JESSE RYAN WYATT
Credential M.D.
Practice Address 300 Hillmont Ave
Ventura
CA 93003
Mailing Address 11234 Anderson St
Gme Office Westerly Suite 'c'
Loma Linda
CA 92354-2804
Practice Telephone 8056526000
Mailing Telephone 9095584174
Enumeration Date 2013-06-17
Last Update Date 2018-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics A126356 CA Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
A126356 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 300 HILLMONT AVE
City VENTURA
State CA
Zip Code 93003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417999137 Ventura County Medical Center General Acute Care Hospital 300 Hillmont Ave, Ventura, CA 93003-1651 2006-06-11
1740899145 Ruth Bannatz Registered Nurse 300 Hillmont Ave, Ventura, CA 93003-1651 2020-07-31
1144847609 Jody Jean Giacopuzzi Social Worker 300 Hillmont Ave, Ventura, CA 93003-1651 2020-07-01
1356964167 Christopher Zeman Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 201, Ventura, CA 93003 2020-05-27
1144843319 Mariam Asper Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 101&201, Ventura, CA 93003 2020-05-22
1154944379 Katia Lee Margaret Cnop Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Ste 101&201, Ventura, CA 93003 2020-05-21
1225667421 Katsiaryna Malykhina Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Ventura, CA 93003-1651 2020-04-08
1114560174 Pejman Javaheri Pharmacist 300 Hillmont Ave, Ventura, CA 93003-1651 2019-10-23
1124675483 Ya-whey Wu Pharmacist 300 Hillmont Ave, Ventura, CA 93003-1651 2019-08-21
1083260053 Shanel Loren Alvarado Stadheim Nurse Practitioner 300 Hillmont Ave, Ventura, CA 93003-1651 2019-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
Find all providers in zip 93003

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417368804 Sara Aghamohammadi Pediatrics 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027-6062 2014-05-19
1023367422 Batool Alsheikh Pediatrics 6235 N Fresno St Ste 103, Fresno, CA 93710 2012-08-31
1699093880 Richard P Lion Pediatrics 11234 Anderson St Rm 5763, Loma Linda, CA 92354-2804 2010-05-12
1558505719 Ryan Richard Taylor Pediatrics Mattel Childrens Hospital At Ucla, 10833 Le Conte Ave., 12-494, Mdcc, Los Angeles, CA 90095-0001 2009-04-30
1871737270 Shan Lyn Ward Pediatrics 3333 California St # S110, San Francisco, CA 94118-1981 2009-04-29
1932341641 Anas Al Kawass Pediatrics 17100 Euclid Street, Picu, Fountain Valley, CA 92708 2009-03-26
1497996649 Andreas Schwingshackl Pediatrics Rrmc 400 Westwood Blvd, Los Angeles, CA 90095-2113 2009-03-18
1588804801 Carol Elizabeth Nicholson Pediatrics 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 2009-02-26
1831355320 Niveditha Vilasagar Pediatrics 4867 W Sunset Blvd Fl 5, Los Angeles, CA 90027-5969 2008-08-04
1154519072 Eloa S. Adams Pediatrics 275 W Macarthu, Oakland, CA 94611-5641 2007-10-04
Find all providers with the same taxonomy

Competitor

Search similar providers

City VENTURA
Zip Code 93003

Improve Information

Please comment or provide details below to improve the information on DR. JESSE RYAN WYATT.

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.

Trending Searches