Individual provider Active NPI

Wayne Lee Garrett, DO

  • Clinical Pathology Physician
  • Hercules, CA
National Provider Identifier
1528111598
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
OS008397L Issued in PA
Practice address
712 Alfred Nobel Dr
Hercules, CA 94547-1805
Phone
(510) 662-5200
Fax
(510) 662-5240
NPI assigned
Jan 20, 2007
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 20A5450 CA
Clinical Pathology Physician 207ZC0006X OS008397L PA Primary

Addresses

Primary practice location

712 Alfred Nobel Dr
Hercules, CA 94547-1805

Mailing address

96 Museum Way
San Francisco, CA 94114-1428
Phone (510) 662-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA, OR, GA, NC, PA, MO, IL8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20160108000230 WI Practitioner - Pathology 0345472809 Reassigns benefits to 1 organization
I20160113002917 CA Practitioner - Pathology 0345472809 Reassigns benefits to 2 organizations
I20170519002046 OR Practitioner - Pathology 0345472809 Reassigns benefits to 2 organizations
I20190225000460 GA Practitioner - Pathology 0345472809 Reassigns benefits to 1 organization
I20200428001979 NC Practitioner - Pathology 0345472809
I20200921000282 PA Practitioner - Pathology 0345472809 Reassigns benefits to 1 organization
I20230912003865 MO Practitioner - Pathology 0345472809 Reassigns benefits to 1 organization
I20230922001928 IL Practitioner - Pathology 0345472809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5450CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Oct 5, 2020 Accepting new patients
Valley Pathology Services PC CurrentSince Jul 1, 2017 Accepting new patients
SSM Health Care Group CurrentSince Sep 1, 2023 Accepting new patients
Contra Costa County Current Accepting new patients
Kern County Hospital Authority CurrentSince Mar 26, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 26, 2025 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Aug 17, 2019 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Ecu Physicians Diagnostic Pathology Services CurrentSince Feb 1, 2020 Accepting new patients
Tower Health Medical Group Current Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Rideout Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Oct 5, 2020 Accepting new patients
SSM Health Care Group CurrentSince Sep 1, 2023 Accepting new patients
Froedtert Memorial Lutheran Hospital, Inc. Past Accepting new patients
Pitt County Memorial Hospital, Inc Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
St. Vincent Anesthesia Medical Group, Inc. Past Accepting new patients
SSM Cardinal Glennon Childrens Hospital Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Contra Costa County Past Accepting new patients
SSM Cardinal Glennon Children's Hospital Past Accepting new patients
Memorial Hospital Past Accepting new patients
SLH Vista, Inc. Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Oroville Hospital Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

62742 Collections Ctr Dr
Chicago, IL 60693

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1528111598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MUSEUM WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141428",
            "telephone_number": "510-662-5200",
            "fax_number": "510-662-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "510-662-5200",
            "fax_number": "510-662-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "WAYNE",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "20A5450",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "PA",
            "license": "OS008397L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

Verify at the official NPI Registry.