Individual provider Active NPI

John Wade Vincent, MD

  • Anesthesiology Physician
  • Temecula, CA
National Provider Identifier
1801875448
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C180855 Issued in CA
Practice address
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone
(951) 331-2200
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11313 NV
Family Medicine Physician 207Q00000X 5553839-1205 UT
Anesthesiology Physician 207L00000X C180855 CA Primary

Addresses

Primary practice location

31700 Temecula Pkwy
Temecula, CA 92592-5896

Mailing address

41762 Avenida Conchita
Murrieta, CA 92562-8620
Phone (951) 816-5732

Other practice location 1

4755 Pasture Rd
Naval Branch Health Clinic NAS Fallon
Fallon, NV 89496-0001
Phone (775) 426-3100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110000804 CA Practitioner - Anesthesiology 1456728088 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rancho Springs Anesthesia Partners IncGroup PAC ID 5991247306, 31 clinicians
Inland Valley Anesthesia Partners IncGroup PAC ID 7012355423, 32 clinicians

Practice addresses (Care Compare)

25500 Medical Ctr Dr
Murrieta, CA 92562-5965
Phone (951) 696-6000

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C180855CAMDAnesthesiology Physician
11313NVMDFamily Medicine Physician
5553839-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 31, 2024 Accepting new patients
Temecula Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 14, 2024 Accepting new patients
Temecula Surgery Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 31, 2024 Accepting new patients
Rancho Springs Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 9, 2024 Accepting new patients

Locations

25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Interoperability endpoints

  • Direct secure messaging: jvincent564989@direct.llu.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1801875448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41762 AVENIDA CONCHITA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628620",
            "telephone_number": "951-816-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925896",
            "telephone_number": "951-331-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Pasture Rd",
            "address_2": "Naval Branch Health Clinic NAS Fallon",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894960001",
            "country_code": "US",
            "telephone_number": "775-426-3100",
            "fax_number": "775-427-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JOHN",
        "middle_name": "WADE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2023-01-25",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5553839-1205",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C180855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.