Raymond M Wheeler

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2450 Craven St BLDG 3300
San Diego, CA 92136-5599

Phone

(619) 881-9202

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

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)

Not enrolled

Practice roles

Locations

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.

• NMC San Diego

  dba San DG Navsta Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • San Diego, CA
  • NPI 1124125984
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1447079595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34101 FARENHOLT AVE BLDG 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CRAVEN ST BLDG 3300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365599",
            "telephone_number": "619-881-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Universal City Plz",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "CA",
            "postal_code": "916081002",
            "country_code": "US",
            "telephone_number": "810-471-2738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Wheeler
• Laura G Wheeler
• Mary Rose Wheeler, MA, MFT
• Melissa Hill Wheeler, D.P.T.
• Paul Loyd Wheeler, B.A.
• Spencer James Wheeler, MD
• Susan Wheeler, RPT
• Shannon Marie Wheelwright, L.AC
• Jennifer Joanna Whelan, MA
• Kristin Whelan, PSY D

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.