Amy G Wandel MD a Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G52862 Issued in CA

Legal business name

AMY G WANDEL MD A MEDICAL CORPORATION

Practice address

2345 E 8TH St
Suite 101
National City, CA 91950-2800

Phone

(619) 475-3000

Fax

(619) 475-1566

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amy Gerrit Wandel, M.D.NPI 1417927310

Title

President/Ceo

Phone

(619) 301-4155

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Gerrit Wandel, MD

  • Plastic Surgery Physician
  • Gold River, CA
  • NPI 1417927310
  Authorized official Same address or phone

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437232444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E 8TH ST",
            "address_2": "SUITE 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502800",
            "telephone_number": "619-475-3000",
            "fax_number": "619-475-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E 8TH ST",
            "address_2": "SUITE 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502800",
            "telephone_number": "619-475-3000",
            "fax_number": "619-475-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY G WANDEL MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANDEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GERRIT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-301-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G52862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in National City, CA
• Providers in National City, 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 Aug 22, 2020; 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.