GREGORY LANCE WAKEMAN (NPI# 1679663777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679663777 |
| Entity Type | Individual |
| Full Name | GREGORY LANCE WAKEMAN |
| Credential | DO |
| Practice Address |
6971 El Camino Real Suite 101 Carlsbad CA 92009 |
| Practice Telephone | 7606033221 |
| Practice Fax Number | 7606037719 |
| Mailing Telephone | 7606033221 |
| Mailing Fax Number | 7606037719 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A6797 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6971 EL CAMINO REAL SUITE 101 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669562765 | Gregory L Wakeman Do Inc | Family Medicine | 6971 El Camino Real, Suite 101, Carlsbad, CA 92009 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602798 | Aberdeen Physical Therapy Inc | Physical Therapist | 3218 Clalle Vallarta, Carlsbad, CA 92009 | 2020-09-08 |
| 1952949851 | Sandrelyn Chua | Registered Nurse | 3421 Calle Del Sur, Carlsbad, CA 92009 | 2019-12-11 |
| 1467938647 | Outshine Speech Therapy | Speech-Language Pathologist | 2647 Gateway Road Suit # 105, Carlsbad, CA 92009 | 2018-07-11 |
| 1154855906 | Tamara Chatfield | Marriage & Family Therapist | 2647 Gateway Rd., Ste. 105 #521, Carlsbad, CA 92009 | 2017-04-19 |
| 1548792039 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 830 N. Mariposa Ave, Los Angeles, CA 92009 | 2017-04-03 |
| 1649722380 | Dom Dop Van Nguyen | Pharmacist | 7440 Rancho Santa Fe Rd, Carlsbad, CA 92009 | 2016-10-28 |
| 1932575354 | Shabnam Moeini-ferdosi | Speech-Language Pathologist | 2684 Bressi Ranch Way, Carlsbad, CA 92009 | 2015-08-19 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1922445873 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 832 N. Mariposa Ave, Los Angeles, CA 92009 | 2013-06-02 |
| 1982945457 | Carin Beth Hauptman | Speech-Language Pathologist | 2148 Avenida Toronja, Carlsbad, CA 92009 | 2013-03-08 |
| Find all providers in zip 92009 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578917720 | Elinora S Madrid-carranza | Family Medicine | 6010 Hidden Valley Rd Ste 150, Carlsbad, CA 92011-4217 | 2016-04-13 |
| 1366874745 | Peggy E Denton | Family Medicine | 3823 National Parks Highway, Carlsbad, NM 88220-8822 | 2013-08-07 |
| 1265727127 | Marie Hong Shieh | Family Medicine | 2501 Navarra Dr, Unit 124, Carlsbad, CA 92009-7002 | 2011-06-17 |
| 1538464029 | Carolyn Aludino Candido | Family Medicine | 5814 Van Allen Way Ste 215, Ste. 215, Carlsbad, CA 92008-7360 | 2011-01-14 |
| 1285964916 | Jerry Dee Colling | Family Medicine | 3171 Falcon Drive, Carlsbad, CA 92008 | 2009-12-31 |
| 1831343946 | Stephen Houngzin Peck | Family Medicine | 10950 N U.S. Hwy 87, Carlsbad, TX 76934-0038 | 2008-11-17 |
| 1154539864 | Philip Richard Goodman | Family Medicine | 7535 Cadencia St, Carlsbad, CA 92009-7534 | 2007-05-18 |
| 1508921586 | Farooq A. Kayani | Family Medicine | 2330 W Pierce St, Carlsbad, NM 88220-3514 | 2006-12-27 |
| 1063585495 | Gary P Korff | Family Medicine | 2562 State St Ste D, Carlsbad, CA 92008-1663 | 2006-11-15 |
| 1790855732 | Nii Tetteh Tsuru Addy | Family Medicine | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2006-11-08 |
| Find all providers in CARLSBAD | ||||
Please comment or provide details below to improve the information on GREGORY LANCE WAKEMAN.
| 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.