Individual provider Active NPI

Sandor Jay Woren, D.O.

  • Adult Medicine Physician
  • Temple City, CA
National Provider Identifier
1912220435
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
20A5016 Issued in CA
Practice address
5809 Rosemead Blvd
#B
Temple City, CA 91780-1832
Phone
(818) 613-5357
Fax
(818) 559-6699
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20A5016 CA
Adult Medicine Physician 207QA0505X 20A5016 CA Primary

Addresses

Primary practice location

5809 Rosemead Blvd
#B
Temple City, CA 91780-1832

Mailing address

1125 E. Broadway
#111
Glendale, CA 91205-1513
Phone (818) 613-5357

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5016CAMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1912220435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E. BROADWAY",
            "address_2": "#111",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051513",
            "telephone_number": "818-613-5357",
            "fax_number": "818-549-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 ROSEMEAD BLVD",
            "address_2": "#B",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801832",
            "telephone_number": "818-613-5357",
            "fax_number": "818-559-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOREN",
        "first_name": "SANDOR",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "20A5016",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A5016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.