Amy Gerrit Wandel, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

GS2862 Issued in CA

Practice address

2200 Sunrise Blvd
Mercy Medical Group Mercy
Gold River, CA 95670-4374

Phone

(916) 536-2400

NPI assigned

Jan 24, 2006

Last updated

Jun 14, 2012By the provider in NPPES

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

State licenses

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.

• Amy G Wandel MD a Medical Corporation

  • Plastic Surgery Physician
  • National City, CA
  • NPI 1437232444
  Authorized official Same address or phone

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1417927310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6383 GRANGERS DAIRY DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311039",
            "telephone_number": "619-301-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUNRISE BLVD",
            "address_2": "MERCY MEDICAL GROUP MERCY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704374",
            "telephone_number": "916-536-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDEL",
        "first_name": "AMY",
        "middle_name": "GERRIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "GS2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Venable, MFT
• Serena Marie Vining
• Kaitlyn Vo, MA, AMFT
• Susan Vogel, R.PH.
• Janis Nelson Walters, LMFT, LPCC
• Yan Wang, M.D.
• Pamela Y Ward, APCC
• Leonard Russell Worden, M.D.
• Annie Sue Yang
• David Cheng-I Yang, M.D.

• Plastic Surgery Physician in Gold River, CA
• Providers in Gold River, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.