NPIMap

Organization Active NPI

Wendy a Shumate MD

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1801089784
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WENDY A SHUMATE MD
Practice address
105 Durian St
Suite a
Vista, CA 92083-6205
Phone
(760) 630-4715
Fax
(760) 630-4249
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Wendy A. Shumate, M.D.NPI 1669457313
Title
Owner
Phone
(760) 630-4715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

105 Durian St
Suite a
Vista, CA 92083-6205

Mailing address

105 Durian St
Suite a
Vista, CA 92083-6205
Phone (760) 630-4715

National Provider Directory

National Provider Directory

Locations

2023 W Vista Way
Ste P
Vista, CA 92083
Phone (760) 630-4705

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1801089784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836205",
            "telephone_number": "760-630-4715",
            "fax_number": "760-630-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836205",
            "telephone_number": "760-630-4715",
            "fax_number": "760-630-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY A SHUMATE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-630-4715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.