Paul Wender, M.D.
Individual provider Active NPI Anesthesiology Physician · San Mateo, CA
NPI 1396707485 · NPPES record last updated Aug 17, 2015
Key facts
- NPI
- 1396707485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- G76861 (CA)
- Practice address
- Abj Surgery Center
104 St Matthews Ave
San Mateo, CA 94401 - Phone
- (415) 637-9956
- Fax
- (415) 681-3641
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76861 | CA | MD | Pharmacist |
| G76861 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Ketamine Center, Inc. | Current | Accepting new patients | |
| Paul Edward Wender MD | Anesthesiology | Past |
Accepting new patients |
| Forest Anesthesia Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G76861 | CA | Yes |
Addresses
Primary practice location
Abj Surgery Center
104 St Matthews Ave
San Mateo, CA 94401
Mailing address
PO Box 22545
San Francisco, CA 94122-0545
Phone (415) 637-9956
Other providers in San Mateo, CA
- Sandra Jane Weissmiller
- Deborah Margaret Weitzman
- Wellbound of San Jose, LLC
- Wellbound of San Mateo LLC
- Alexis Daniell Wells I
- Jennifer Ranae Werner
- Diana L Wertz
- Nadrina Weseman
- Lisa Maria Wessels
- West America Foot and Ankle
All providers in San Mateo, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.