Wilma Jean Wooten, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A46474 Issued in CA

Practice address

1700 Pacific Hwy Ste 311
San Diego, CA 92101-2417

Phone

(619) 515-6519

Fax

(619) 515-6527

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376694802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PACIFIC HWY STE 311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012417",
            "telephone_number": "619-515-6519",
            "fax_number": "619-515-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PACIFIC HWY STE 311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012417",
            "telephone_number": "619-515-6519",
            "fax_number": "619-515-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "WILMA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A46474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Woolridge, DPT
• Emily Woolsey, NP
• Woori Medical Group Professional Corp
• Collen Edward Wooten, PT, DPT
• Tramesha Alena Wooten
• Wendy Worbington
• Jordyn Worby, RD
• Donna S Worcester, FNP
• Word Play Speech Therapy, Inc.
• Emily Worden, MS, RD

• Public Health & General Preventive Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• 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.