Individual provider Active NPI

Wendy Dauer, M.D.

  • Pediatrics Physician
  • Whittier, CA
National Provider Identifier
1023132289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G59129 Issued in CA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G591290MedicaidCA
95-2630482OtherTAX 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

LicenseStateTypeSpecialty
G59129CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.