Active NPI
Wendy Leigh Reulman, PA-C
- Physician Assistant
- Aliso Viejo, CA
National Provider Identifier
1770780462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18591
- Practice address
- 5 Journey
#210
Aliso Viejo, CA 92656-5336 - Phone
- (949) 305-7122
- Fax
- (949) 305-7160
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18591 | CA | Primary |
Addresses
Primary practice location
5 Journey
#210
Aliso Viejo, CA 92656-5336
Mailing address
5 Journey
#210
Aliso Viejo, CA 92656-5336
Phone (949) 305-7122
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140303001433 | CA | Order and Referring Only - Physician Assistant | 6800026337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18591 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770780462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 JOURNEY",
"address_2": "#210",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565336",
"telephone_number": "949-305-7122",
"fax_number": "949-305-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 JOURNEY",
"address_2": "#210",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565336",
"telephone_number": "949-305-7122",
"fax_number": "949-305-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REULMAN",
"first_name": "WENDY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "18591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
- Re-Active Physical Therapy and Performance
- Rehabcare Group East, LLC
- Reiley Chiropractic a Professional Chiropractic Corporation
- James Reiley
- Nicholas Antony Rensing, D.O.
- Reza a. Tafreshi DDS,Inc.
- Reza M. Birjandi D.D.S.,a Professional Dental Corporation
- Maureen Culkin Rhyne, PH.D.
- Peter L. Rich, O. D.
- Richard Caso, M.D., Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.