Active NPI
Wayne B. Whitwam, M.D.
- Clinical Cardiac Electrophysiology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- A90625
- Practice address
- 9850 Genesee Ave
Suite 780
La Jolla, CA 92037-1224 - Phone
- (858) 450-3388
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A90625 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 780
La Jolla, CA 92037-1224
Mailing address
9850 Genesee Ave
Suite 780
La Jolla, CA 92037-1224
Phone (858) 450-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Sanford School of Medicine of University of South Dakota, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
- Scripps Memorial Hospital - Encinitas
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90625 | CA | MD | Clinical Social Worker |
| A90625 | CA | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Cardiology Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| St Luke Cardiovascular Medical Group | Cardiovascular Disease | Past | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients |
Locations
320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104
9834 Genesee Ave
Ste 300
La Jolla, CA 92037
Phone (858) 625-4488
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wwhitwam31809@scrippshlth.medalliesdirect.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1851481121
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Cardiovascular Disease Physician
- Murrieta, CA
- NPI 1720158611
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1114048741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 780",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-450-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 780",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-450-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITWAM",
"first_name": "WAYNE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A90625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.