NPIMap

Individual provider Active NPI

Jonathan W Wheeler, MD

  • Family Medicine Physician
  • Saint Helena, CA
National Provider Identifier
1013919752
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G68184 Issued in CA
Practice address
999 Adams St Ste 303
Saint Helena, CA 94574-1173
Phone
(707) 963-3658
Fax
(707) 963-1775
NPI assigned
Aug 12, 2005
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G68184 CA Primary

Addresses

Primary practice location

999 Adams St Ste 303
Saint Helena, CA 94574-1173

Mailing address

999 Adams St Ste 303
Saint Helena, CA 94574-1173
Phone (707) 963-3658

Other identifiers 3

IdentifierTypeStateIssuer
00G681841MedicaidCA
G68184OtherCABLUE CROSS OF CALIFORNIA
00G681840OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000380 CA Practitioner - Family Practice 4385655968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

999 Adams St
Suite 303
Saint Helena, CA 94574-1173
Phone (707) 963-3658

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68184CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan W Wheeler MD Inc Family Medicine CurrentSince Dec 6, 2024 Accepting new patients

Locations

999 Adams St
Ste 303
Saint Helena, CA 94574
Phone (707) 963-3311

Interoperability endpoints

  • Direct secure messaging: jonathan.wheeler.1@32417.direct.athenahealth.com
  • Direct secure messaging: jonathan.wheeler@nvfmg.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1013919752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ADAMS ST STE 303",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741173",
            "telephone_number": "707-963-3658",
            "fax_number": "707-963-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ADAMS ST STE 303",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741173",
            "telephone_number": "707-963-3658",
            "fax_number": "707-963-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G68184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G681841",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "G68184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G681840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.