Individual provider Active NPI

Wendell Dean Wyatt, M.D.

  • Internal Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1316906696
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C136244 Issued in CA
Practice address
68214 Santiago Rd
Cathedral City, CA 92234-4820
Phone
(760) 406-3234
NPI assigned
Mar 23, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621003202 CA Practitioner - Internal Medicine 8820068968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C136244CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Jan 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.