Active NPI
Barry Anthony Wayne, MD
- Emergency Medicine Physician
- San Diego, CA
National Provider Identifier
1497731178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 027016
- Practice address
- BLDG 601 McCain Blvd
San Diego, CA 92135 - Phone
- (619) 545-0410
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 027016 | GA | Primary |
| General Practice Physician | 208D00000X | C53647 | CA |
Addresses
Primary practice location
BLDG 601 McCain Blvd
San Diego, CA 92135
Mailing address
584 Corte Helena Ave
Chula Vista, CA 91910-4902
Phone (619) 240-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027016 | GA | MD | Emergency Medicine Physician |
| C53647 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1497731178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 CORTE HELENA AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104902",
"telephone_number": "619-240-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 601 MCCAIN BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92135",
"telephone_number": "619-545-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "BARRY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "027016",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "C53647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.