Organization Active NPI

Malcolm John Wehrle MD, a Professional Corporation

  • Addiction Medicine (Anesthesiology) Physician
  • Anaheim, CA
National Provider Identifier
1528513140
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
G64523 Issued in CA
Legal business name
MALCOLM JOHN WEHRLE MD, A PROFESSIONAL CORPORATION
Practice address
1203 E Vermont Ave
Anaheim, CA 92805-5622
Phone
(714) 997-2674
Fax
(206) 426-5175
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Dr. Malcolm Wehrle, M.D.
Title
President
Phone
(818) 653-7186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LA0401X G64523 CA Primary

Addresses

Primary practice location

1203 E Vermont Ave
Anaheim, CA 92805-5622

Mailing address

1203 E Vermont Ave
Anaheim, CA 92805-5622
Phone (714) 997-2674

National Provider Directory

National Provider Directory

Locations

1111 S Arroyo Pkwy
Ste 420
Pasadena, CA 91105
Phone (626) 793-3185

1111 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 376-3790

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1528513140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E VERMONT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055622",
            "telephone_number": "714-997-2674",
            "fax_number": "206-426-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E VERMONT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055622",
            "telephone_number": "714-997-2674",
            "fax_number": "206-426-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM JOHN WEHRLE MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "WEHRLE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-653-7186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "G64523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.