Individual provider Active NPI

J Wayne Dillard, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Oceanside, CA
National Provider Identifier
1659324234
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A5941 Issued in CA
Practice address
2170 S El Camino Real
Suite 117-122
Oceanside, CA 92054-6203
Phone
(760) 730-8060
Fax
(888) 857-5957
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1820 ME
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 60425 MA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 1820 ME
Physical Medicine & Rehabilitation Physician 208100000X 20A5941 CA Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 60425 MA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1820 ME
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A5941 CA
Physical Medicine & Rehabilitation Physician 208100000X 60425 MA

Addresses

Primary practice location

2170 S El Camino Real
Suite 117-122
Oceanside, CA 92054-6203

Mailing address

2170 S El Camino Real
Suite 117-122
Oceanside, CA 92054-6203
Phone (760) 730-8060

Other identifiers 1

IdentifierTypeStateIssuer
432162000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001026 CA Practitioner - Physical Medicine and Rehabilitation 6305863242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
College of Osteo Med of the Pacific at Pomona, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2170 S El Camino Real
Suite 117 122
Oceanside, CA 92054-6203
Phone (760) 730-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
60425MAMDNeuromusculoskeletal Medicine & OMM Physician
20A5941CAMDPhysical Medicine & Rehabilitation Physician
1820MEMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Non-Surgical Orthopedic Center a Professional Medical Corporation Physical Medicine & Rehabilitation CurrentSince Oct 1, 2015 Accepting new patients
Wayne Dillard, D.O. Neuromusculoskeletal Medicine & Omm PastSince Jan 1, 1990 Accepting new patients

Locations

2170 S El Camino Real
Ste 117122
Oceanside, CA 92054
Phone (760) 707-7302

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1659324234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 S EL CAMINO REAL",
            "address_2": "SUITE 117-122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-730-8060",
            "fax_number": "888-857-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 S EL CAMINO REAL",
            "address_2": "SUITE 117-122",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-730-8060",
            "fax_number": "888-857-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "J WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "1820",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "60425",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "ME",
            "license": "1820",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A5941",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MA",
            "license": "60425",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1820",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A5941",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "60425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432162000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.