Active NPI
Wayland Chua
- Registered Nurse
- Santee, CA
National Provider Identifier
1588060180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 766489
- Practice address
- 655 Park Center Dr
Santee, CA 92071-6957 - Phone
- (619) 596-5500
- NPI assigned
- Nov 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 766489 | CA | Primary |
Addresses
Primary practice location
655 Park Center Dr
Santee, CA 92071-6957
Mailing address
9669 Gold Coast Dr
Apt 88
San Diego, CA 92126-3947
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766489 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415404800000",
"number": "1588060180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 GOLD COAST DR",
"address_2": "APT 88",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 PARK CENTER DR",
"city": "SANTEE",
"state": "CA",
"postal_code": "920716957",
"telephone_number": "619-596-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "WAYLAND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-08",
"last_updated": "2014-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "766489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.