Wayne T. Dewri, PHYSICIAN ASSISTANT

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

PA 18316 Issued in CA

Practice address

10430 Rhondda St
Redlands, CA 92374-2881

Phone

(909) 796-8206

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Behavioral and Health Services IncGroup PAC ID 2769392927, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJAADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1275562969
  Medicare reassignment Care Compare group NPD
• Alpine Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • El Centro, CA
  • NPI 1205071776
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1467584532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1918",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540599",
            "telephone_number": "909-799-7813",
            "fax_number": "909-796-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 RHONDDA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742881",
            "telephone_number": "909-796-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWRI",
        "first_name": "WAYNE",
        "middle_name": "T.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "PA 18316",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467584532",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archis D Desai, M.D.
• Arnon David Desai, M.D.
• David P Desai, M.D.
• Destiny Recovery Center, LLC
• Rachel Detienne, PA-C
• James R Dexter, M.D.
• Jasninder Singh Dhaliwal, MD
• Shan Singh Dhillon, DO
• Dialogix Laboratory Inc
• Liana Diants, M.D.

• Neuromusculoskeletal Medicine & OMM Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.