Active NPI
Wesley T Stevens, M.D.
- Blood Banking & Transfusion Medicine Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- A82933
- Practice address
- 11370 Anderson St
Ste 2960
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2304
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | A82933 | CA | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | A82933 | CA |
Addresses
Primary practice location
11370 Anderson St
Ste 2960
Loma Linda, CA 92354-3450
Mailing address
PO Box 1740
Loma Linda, CA 92354-0240
Phone (909) 558-3190
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82933 | CA | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
Locations
11234 Anderson St
Ste 2151
Loma Linda, CA 92350
Phone (909) 558-2304
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 2960
Loma Linda, CA 92354
Phone (909) 558-5175
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
268 W Hospitality Ln
Ste 300
San Bernardino, CA 92408
Phone (909) 651-4352
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- wstevens11417@direct.llu.edu
Organizations & group practices 13
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.
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Blood Banking & Transfusion Medicine
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1760591416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1740",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923540240",
"telephone_number": "909-558-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"address_2": "STE 2960",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "WESLEY",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "CA",
"license": "A82933",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "A82933",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.