Individual provider Active NPI

Wayne Stewart True, M.D., M.P.H.

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1144220997
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G62330 Issued in CA
Practice address
8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91941-3514
Phone
(858) 499-2600
Fax
(619) 462-9625
NPI assigned
Jul 22, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G62330 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91941-3514

Mailing address

8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91941-3514
Phone (858) 499-2600

Other identifiers 1

IdentifierTypeStateIssuer
G62330OtherCASTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000812 CA Practitioner - Family Practice 2769400365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62330CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 1, 2008 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince May 1, 2008 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 105
La Mesa, CA 91942
Phone (619) 460-3311

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144220997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 105",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413514",
            "telephone_number": "858-499-2600",
            "fax_number": "619-462-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 105",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413514",
            "telephone_number": "858-499-2600",
            "fax_number": "619-462-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUE",
        "first_name": "WAYNE",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G62330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.