Dr Jesse Ryan Wyatt, MD | |
300 Hillmont Ave, Ventura, CA 93003 | |
(805) 652-6000 | |
Not Available |
Full Name | Dr Jesse Ryan Wyatt |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 300 Hillmont Ave, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508205154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A126356 (California) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | A126356 (California) | Primary |
Entity Name | County Of Ventura |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Ryan Wyatt, MD 11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 Ph: (909) 558-4174 | Dr Jesse Ryan Wyatt, MD 300 Hillmont Ave, Ventura, CA 93003 Ph: (805) 652-6000 |
Traci A Williams, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2953 Telegraph Rd, Ventura, CA 93003 Phone: 805-652-5252 Fax: 805-652-0097 | |
Dr. Catherine M Hurley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 805-477-6300 Fax: 805-477-6300 | |
Dr. Valerie Sussman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 E Main St, 204, Ventura, CA 93003 Phone: 805-643-7500 Fax: 805-643-7510 | |
Stephanie Grace West, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 833-574-2273 | |
Dr. Danielle Shaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-805-6526 | |
Dr. Robert Eldon Ryan Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5415 Topa Topa Dr, Ventura, CA 93003 Phone: 805-320-5120 | |
Dr. Sally Jean Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2755 Loma Vista Rd, Ventura, CA 93003 Phone: 805-477-9922 Fax: 805-477-9937 |