Wendy Palmer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G61769 Issued in CA

Practice address

17871 Andrews St
Monte Sereno, CA 95030-4230

Phone

(408) 395-1442

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1598089898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17871 ANDREWS ST",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950304230",
            "telephone_number": "408-395-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 ANDREWS ST",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950304230",
            "telephone_number": "408-395-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "WENDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G61769",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "2835A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "21252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blythe Fukunaga-Block, P.T.
• Daniel J. Kanada, M.D.
• Bryan R McCleve, M.D.
• Alexandra Niazi, RD
• Hans Ivan Orup, M.D.
• Portico Life, Inc.
• Pros in Rehab
• Jyoti Saboo, MS, PT
• Marcie Lynn Sapir, O.T.
• Sharon Siegel, MD JD

• Pediatrics Physician in Monte Sereno, CA
• Providers in Monte Sereno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.