William M Wansa Medical Group

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

WILLIAM M WANSA MEDICAL GROUP

Practice address

250 Prospect PL
Coronado, CA 92118-1943

Phone

(619) 522-3722

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

William M Wansa, MD

Title

President

Phone

(858) 352-6075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1649579202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28247",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852858247",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PROSPECT PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181943",
            "telephone_number": "619-522-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M WANSA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "WANSA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-352-6075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anna Welsch, LMFT
• Charles E Whitney, M.D.
• Aaron Wickard
• Bailey Wickard, MD
• Kirsten Marshall Wiley, MPT
• William Meade Jr MD PC
• Jenny Wong, MD
• Dennis Patrick Wood, PHD
• Kathleen Ann Wood
• Jennifer Lee Woodson, M.D.

• Emergency Medical Services (Emergency Medicine) Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.