Wesley E Anderson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015486 Issued in CA

Practice address

77935 Calle Tampico Ste 103
La Quinta, CA 92253-2947

Phone

(760) 595-5418

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omar Osman Practice, LLC 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Omar Osman Practice, LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1669192472

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889

  CA, Single Specialty

  Medicare reassignment NPD
• Tyson Medical Inc

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1467241570

  CA, Single Specialty

  Medicare reassignment NPD
• Clinicas de Salud del Pueblo Inc.

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1093138430
  NPD
• Tyson Medical Inc

  • Urgent Care Clinic/Center
  • El Centro, CA
  • NPI 1376053843

  Single Specialty

  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1265032486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77935 CALLE TAMPICO STE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532947",
            "telephone_number": "760-595-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77935 CALLE TAMPICO STE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532947",
            "telephone_number": "760-595-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WESLEY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amazeen Consulting and Counseling, Inc.
• Alberto Amezquita
• Charles S Amicangelo
• Amindeep Lail, M.D., a Professional Corporation
• Ma Cherryl Ancheta, PT
• Nicole Denise Andreatta, LMFT
• Angela K Prescott
• Antoine J Elhajjar M.D., Inc.
• Apex Dental Group of Dr Kristina Fernandez Corp
• Sergio G Arancibia, NP

• All providers in La Quinta, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.