Organization Active NPI

Wanda J. Spencer, M.D., a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1770762353
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A42254 Issued in CA
Legal business name
WANDA J. SPENCER, M.D., A PROFESSIONAL CORPORATION
Practice address
801 E. Chapel St.
Suite #2
Santa Maria, CA 93454-4607
Phone
(805) 922-9600
Fax
(805) 922-8892
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Wanda J. Spencer, M.D.
Title
President
Phone
(805) 922-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A42254 CA Primary

Addresses

Primary practice location

801 E. Chapel St.
Suite #2
Santa Maria, CA 93454-4607

Mailing address

801 E. Chapel St.
Suite #2
Santa Maria, CA 93454-4607
Phone (805) 922-9600

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ26462ZOtherCABLUE SHIELD
00A422540MedicaidCA
160013964OtherCARAILROAD-MEDICARE

Other names 1

  • d/b/a: Women Care Other name

National Provider Directory

National Provider Directory

Locations

937 E Main St
Ste 101
Santa Maria, CA 93454
Phone (805) 922-9600

801 E Chapel St
Ste 2
Santa Maria, CA 93454
Phone (805) 922-9600

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1770762353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E. CHAPEL ST.",
            "address_2": "SUITE #2",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-922-9600",
            "fax_number": "805-922-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E. CHAPEL ST.",
            "address_2": "SUITE #2",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544607",
            "telephone_number": "805-922-9600",
            "fax_number": "805-922-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA J. SPENCER, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A42254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ26462Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD-MEDICARE",
            "identifier": "160013964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a: Women Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.