Organization Active NPI

David Wren, Jr., M.D., Inc

  • Specialist
  • Richmond, CA
National Provider Identifier
1902076003
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G22810 Issued in CA
Legal business name
DAVID WREN, JR., M.D., INC
Practice address
120 Broadway
Suite 21
Richmond, CA 94804-1938
Phone
(510) 235-9014
Fax
(510) 232-1411
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
David Wren Jr., M.D.
Title
President
Phone
(510) 235-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G22810 CA Primary

Addresses

Primary practice location

120 Broadway
Suite 21
Richmond, CA 94804-1938

Mailing address

120 Broadway
Suite 21
Richmond, CA 94804-1938
Phone (510) 235-9014

National Provider Directory

National Provider Directory

Locations

120 Broadway
Ste 21
Richmond, CA 94804
Phone (510) 235-9014

Practitioners & affiliated clinicians

Practitioners 1

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1902076003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "address_2": "SUITE 21",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041938",
            "telephone_number": "510-235-9014",
            "fax_number": "510-232-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "address_2": "SUITE 21",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041938",
            "telephone_number": "510-235-9014",
            "fax_number": "510-232-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WREN, JR., M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-235-9014",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.