Wayne Ellsworth Spruce, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

A24022 Issued in CA

Practice address

6160 Mission Gorge Rd
Suite 400
San Diego, CA 92120-3410

Phone

(619) 528-4010

Fax

(619) 528-4077

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1780761320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 DOVE TAIL DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920780933",
            "telephone_number": "760-290-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203410",
            "telephone_number": "619-528-4010",
            "fax_number": "619-528-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUCE",
        "first_name": "WAYNE",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A24022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A240220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Springer, CLS, PA(ASCP)
• Asia Monet Springfield
• Brittany Erin Springmeier, CNM
• Corey Lamel Springs, IDC
• Stephenie R Sprowell
• Charles Spruell, RN
• Alaysia Spruill
• Conner Paul Spuhl
• Spunky Speech Therapy, Inc.
• Christopher Spurling, MS, CHES

• Pediatric Hematology & Oncology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.