Wendy Shumate, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G79455 Issued in CA

Practice address

105 Durian St
Suite B
Vista, CA 92083-6206

Phone

(760) 630-4715

Fax

(760) 630-4249

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wendy a Shumate MD

  • Internal Medicine Physician
  • Vista, CA
  • NPI 1801089784
  NPD Authorized official

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1669457313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST",
            "address_2": "SUITE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836205",
            "telephone_number": "760-630-4715",
            "fax_number": "760-630-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST",
            "address_2": "SUITE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836206",
            "telephone_number": "760-630-4715",
            "fax_number": "760-630-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Ryong Shin
• Arta Daryoosh Shirkhodai
• Heather Shott, DC
• Deborah F Shriver, LMFT
• Ronald Wayne Shumaker, D.D.S.
• Carlos Enrique Sibaja, DDS
• Sidhu Triune of Life Chiropractic Apc
• Guravtar S Sidhu, D.C.
• Vanessa Marie Sigala
• Cristiane Jardim Silva, DDS

• Internal Medicine Physician in Vista, CA
• Providers in Vista, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.