Jeff S Wolfish, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

302639 Issued in CA

Practice address

7651 Shady Creek Rd
Dublin, CA 94568-3702

Phone

(925) 295-4000

NPI assigned

Dec 12, 2006

Sex

Male

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

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417017906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 SHADY CREEK RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683702",
            "telephone_number": "925-295-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 SHADY CREEK RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683702",
            "telephone_number": "925-295-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFISH",
        "first_name": "JEFF",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "302639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Winta
• Billie Jo Withrow, LMFT
• Jennifer Marie Wittry
• Saron Wolde
• Michelle Wolfe
• Alex Le Sing Wong, DDS
• Callista Wong
• Douglas K. C. Wong, D.D.S.
• Glenn Gee Wong, D.C.
• Pamela Wong, D.D.S.

• Registered Nurse in Dublin, CA
• Providers in Dublin, CA by specialty
• Registered Nurse 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.