Individual provider Active NPI

Marcia Kay Whoolery, MD

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
National Provider Identifier
1366447054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G58810 Issued in CA
Practice address
24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653-3621
Phone
(949) 837-1578
Fax
(949) 837-8154
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G58810 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653-3621

Mailing address

3080 Bristol St
Ste 600
Costa Mesa, CA 92626-7341
Phone (714) 445-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58810CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366447054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST",
            "address_2": "STE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267341",
            "telephone_number": "714-445-0220",
            "fax_number": "714-445-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-837-1578",
            "fax_number": "949-837-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHOOLERY",
        "first_name": "MARCIA",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G58810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.