Individual provider Active NPI

William James Wolfenden Jr., M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1154485183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
A21279 Issued in CA
Practice address
1 Daniel Burnham CT
Suite 368C
San Francisco, CA 94109-5455
Phone
(415) 441-9565
Fax
(415) 441-9587
NPI assigned
Dec 21, 2006
Sex
Male
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
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X A21279 CA Primary

Addresses

Primary practice location

1 Daniel Burnham CT
Suite 368C
San Francisco, CA 94109-5455

Mailing address

1 Daniel Burnham CT
Suite 368C
San Francisco, CA 94109-5455
Phone (415) 441-9565

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
A21279CAMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154485183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "SUITE 368C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-441-9565",
            "fax_number": "415-441-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT",
            "address_2": "SUITE 368C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095455",
            "telephone_number": "415-441-9565",
            "fax_number": "415-441-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENDEN",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A21279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, 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.