Wendy J Carvajal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60168 Issued in CA

Practice address

1113 Highway 49
San Andreas, CA 95249

Phone

(209) 755-1460

NPI assigned

Feb 18, 2011

Last updated

Dec 14, 2021By the provider in NPPES

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cares Community Health

  dba One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1447297379
  Medicare reassignment NPD
• Chapa-de Indian Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Auburn, CA
  • NPI 1114057163
  Medicare reassignment NPD
• Cares Community Health

  dba One Community Health - Carmichael Health Center

  • Federally Qualified Health Center (FQHC)
  • Carmichael, CA
  • NPI 1255180873
  NPD
• Cares Community Health

  dba One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1982114492
  NPD

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1740587229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HIGHWAY 49",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-755-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Carradale Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614047",
            "country_code": "US",
            "telephone_number": "916-677-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 South St",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "CA",
            "postal_code": "954375540",
            "country_code": "US",
            "telephone_number": "707-964-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Calestini
• California Em-I Medical Services, a Medical Corporation
• Rebecca Carrillo, M.D.
• Rea Carroll
• Tiara Carter
• Adrianna C Castle
• Center for Life Skills Coaching
• Cep America - California (Vituity)
• Mary Chase, RN
• Joshua David Christie, SUDRC I

• Dentist in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.