Wieseltier, Steigerwald, Pal, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WIESELTIER, STEIGERWALD, PAL, INC

Doing business as

MSK Docs

Practice address

3252 Holiday CT Ste 204
La Jolla, CA 92037-1808

Phone

(619) 738-0881

Fax

(619) 354-1864

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Jackie Christine Steigerwald, FNP-C

Title

Shareholder, Cno

Phone

(619) 738-0881

Specialties & licenses 10

Addresses

Other names 1

• MSK Docs Doing business as

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1558196337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2098",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432098",
            "telephone_number": "619-738-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT STE 204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371808",
            "telephone_number": "619-738-0881",
            "fax_number": "619-354-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Church Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102718",
            "country_code": "US",
            "telephone_number": "619-738-0881",
            "fax_number": "619-354-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIESELTIER, STEIGERWALD, PAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "STEIGERWALD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SHAREHOLDER, CNO",
        "authorized_official_telephone_number": "619-738-0881",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSK Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne B. Whitwam, M.D.
• Rachel Marie Whynott, M.D.
• Vanessa Michelle Wickham, NP, CNS
• Praveen Dewinda Wickremasinghe, MD
• Brenda Kay Wiederhold, PH.D.
• Christopher T Wiesner, M.D.
• Diana B Wiggins, RD-CDE
• Robert E Wilcox, C.P.O.
• Shelby L Wilcox, AGACNP-BC, MSN
• Jeffrey Wilde, M.D.

• Multi-Specialty Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.