Organization Active NPI

W. Wasef Atiya

  • Primary Care Clinic/Center
  • Hemet, CA
National Provider Identifier
1093987547
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A32839 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0087351MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
W Joseph Atiya MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.