Active NPI
Wendy Dauer, M.D.
- Pediatrics Physician
- Whittier, CA
National Provider Identifier
1023132289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G59129
- Practice address
- 15215 Leffingwell Rd
Whittier, CA 90604-2254 - Phone
- (562) 946-9696
- Fax
- (562) 946-9644
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G59129 | CA | Primary |
Addresses
Primary practice location
15215 Leffingwell Rd
Whittier, CA 90604-2254
Mailing address
15215 Leffingwell Rd
Whittier, CA 90604-2254
Phone (562) 946-9696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G591290 | Medicaid | CA | |
| 95-2630482 | Other | TAX I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59129 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonard I. Dauer, M.D., Inc. | Pediatrics | Past | Accepting new patients |
| Queen of the Valley Medical Association | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Whittier, CA
- NPI 1518083856
-
dba St Joseph Heritage Health System
- Gynecology Physician
- Napa, CA
- NPI 1649260126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023132289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15215 LEFFINGWELL RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906042254",
"telephone_number": "562-946-9696",
"fax_number": "562-946-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 LEFFINGWELL RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906042254",
"telephone_number": "562-946-9696",
"fax_number": "562-946-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUER",
"first_name": "WENDY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G59129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G591290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "95-2630482",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.