Active NPI
John Howard Wieland, M.D.
- Specialist
- Laguna Beach, CA
National Provider Identifier
1851583777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G28996
- Practice address
- 1577 Skyline Dr
Laguna Beach, CA 92651-1944 - Phone
- (949) 230-7745
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G28996 | CA | Primary |
Addresses
Primary practice location
1577 Skyline Dr
Laguna Beach, CA 92651-1944
Mailing address
1577 Skyline Dr
Laguna Beach, CA 92651-1944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28996 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1851583777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 SKYLINE DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 SKYLINE DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511944",
"telephone_number": "949-230-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELAND",
"first_name": "JOHN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G28996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.