Active NPI
Wendell Dean Wyatt, M.D.
- Internal Medicine Physician
- Cathedral City, CA
National Provider Identifier
1316906696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C136244
- Practice address
- 68214 Santiago Rd
Cathedral City, CA 92234-4820 - Phone
- (760) 406-3234
- NPI assigned
- Mar 23, 2006
- Last updated
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C136244 | CA | Primary |
Addresses
Primary practice location
68214 Santiago Rd
Cathedral City, CA 92234-4820
Mailing address
68214 Santiago Rd
Cathedral City, CA 92234-4820
Phone (760) 406-3234
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C136244 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Primary Care Medical Associates, Inc. | Past | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients | |
| Medical Care of Boston Management Corporation | Internal Medicine | Past | Accepting new patients |
| Malden Primary Care, PC | Internal Medicine | Past | Accepting new patients |
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Primary Care Medical Associates Inc | Past | Accepting new patients |
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Interoperability endpoints
- wendell.wyatt.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 9
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.
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- NPI 1508968751
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Internal Medicine Physician
- Malden, MA
- NPI 1518903327
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
dba RiverBend Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Family Medicine Physician
- Lantana, FL
- NPI 1720203763
-
dba dba PCMA Boynton Beach
- Family Medicine Physician
- Boynton Beach, FL
- NPI 1306835855
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1316906696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68214 SANTIAGO RD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922344820",
"telephone_number": "760-406-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68214 SANTIAGO RD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922344820",
"telephone_number": "760-406-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "WENDELL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C136244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.