Waldtraut Jedamski, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G39074 Issued in CA

Practice address

27412 Enterprise Cir W Ste 102
Temecula, CA 92590-4801

Phone

(951) 694-6367

Fax

(951) 694-1428

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Loma Linda University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arul Doraiswamy MD ApcGroup PAC ID 9739371923, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Arul Doraiswamy MD Apc

  • Interventional Pain Medicine Physician
  • Hemet, CA
  • NPI 1073827929
  Medicare reassignment Care Compare group NPD
• Richard a Weiner MD Inc

  • Pain Medicine Physician
  • Temecula, CA
  • NPI 1386797769
  Medicare reassignment NPD
• Hemet Healthcare Surgicenter, Inc.

  • Ambulatory Surgical Clinic/Center
  • Hemet, CA
  • NPI 1982674065
  NPD (past)
• Zahra Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
  • NPI 1356685457
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1891726535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904801",
            "telephone_number": "951-694-6367",
            "fax_number": "951-694-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904801",
            "telephone_number": "951-694-6367",
            "fax_number": "951-694-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDAMSKI",
        "first_name": "WALDTRAUT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G39074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jarrous, OTR/L
• Gabriel Jasperson
• Daniel Javidi, DO
• Jay a. Ferns D.O. a Professional Medical Corp.
• May Jazi
• Timothy William Jenkins
• Jennifer Patterson Marriage and Family Therapy Inc
• Maggie Jennings
• Alison R. Jensen, DVM
• Jeremy Gomer MD Mobile Providers

• Interventional Pain Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.