Active NPI
W. Wasef Atiya
- Primary Care Clinic/Center
- Hemet, CA
National Provider Identifier
1093987547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A32839
- Legal business name
- W. WASEF ATIYA
- Practice address
- 1011 E Devonshire Ave
Suite 101
Hemet, CA 92543-3033 - Phone
- (951) 658-7284
- Fax
- (951) 766-5004
- NPI assigned
- Mar 25, 2008
- Last updated
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wasef Y Atiya, MD
- Title
- Owner
- Phone
- (951) 658-7284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A32839 | CA | Primary |
Addresses
Primary practice location
1011 E Devonshire Ave
Suite 101
Hemet, CA 92543-3033
Mailing address
1011 E Devonshire Ave
Suite 101
Hemet, CA 92543-3033
Phone (951) 658-7284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0087351 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- W Joseph Atiya MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Hemet, CA
- NPI 1457724437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1639287642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1093987547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 E DEVONSHIRE AVE",
"address_2": "SUITE 101",
"city": "HEMET",
"state": "CA",
"postal_code": "925433033",
"telephone_number": "951-658-7284",
"fax_number": "951-766-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E DEVONSHIRE AVE",
"address_2": "SUITE 101",
"city": "HEMET",
"state": "CA",
"postal_code": "925433033",
"telephone_number": "951-658-7284",
"fax_number": "951-766-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W. WASEF ATIYA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "ATIYA",
"authorized_official_first_name": "WASEF",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-658-7284",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A32839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0087351",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.