Michael N. Wood, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G48744 Issued in CA

Legal business name

MICHAEL N. WOOD, M.D., INC

Practice address

1060 E Foothill Blvd
Suite 201
Upland, CA 91786-4027

Phone

(909) 949-6360

Fax

(909) 949-0185

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael N Wood, M.D.

Title

Medical Doctor

Phone

(909) 949-6360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184833915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-949-6360",
            "fax_number": "909-949-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-949-6360",
            "fax_number": "909-949-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N. WOOD, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "909-949-6360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G48744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.