Active NPI
Ervin S Wheeler, M.D.
- Specialist
- La Jolla, CA
National Provider Identifier
1649290503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G20992
- Practice address
- 9850 Genesee Ave
Suite 130
La Jolla, CA 92037-1224 - Phone
- (858) 245-6550
- Fax
- (858) 452-9910
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G20992 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 130
La Jolla, CA 92037-1224
Mailing address
9894 La Jolla Farms Rd
La Jolla, CA 92037-1135
Phone (858) 245-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EU012Z | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 17, 2016 through May 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20992 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Kamran Azad, MD P.a. | Past | Accepting new patients |
Interoperability endpoints
- ewheeler41696@scrippshlth.medalliesdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Plastic Surgery Physician
- Winter Park, FL
- NPI 1750752614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1649290503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9894 LA JOLLA FARMS RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371135",
"telephone_number": "858-245-6550",
"fax_number": "858-452-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 130",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-245-6550",
"fax_number": "858-452-9910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "ERVIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G20992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "EU012Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.