Wanda Denise Street, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

102 W Main St
San Jacinto, CA 92583-4121

Phone

(951) 929-2744

NPI assigned

Dec 17, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1295918985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 EL CERRITO DR APT 237",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076288",
            "telephone_number": "951-787-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834121",
            "telephone_number": "951-929-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "WANDA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Stepard
• Ashley Stephens
• Patricia E Stephens, DDS
• Kenneth Stevens
• Dakotah Storay, LCSW
• Christi Suits
• Beatriz Sumahit
• Beth Deeon Sutch, INTERN
• Yelena Sverdlova, ED.D., RADT
• Swati Panse MD Inc

• Mental Health Counselor in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.