Active NPI
Gregory M Wyatt, M.D.
- Anesthesiology Physician
- Murrieta, CA
National Provider Identifier
1922016534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G26574
- Practice address
- 25500 Medical Center Dr
Murrieta, CA 92562-5965 - Phone
- (951) 296-6140
- Fax
- (951) 296-6149
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G26574 | CA | Primary |
Addresses
Primary practice location
25500 Medical Center Dr
Murrieta, CA 92562-5965
Mailing address
42217 Rio Nedo
A203
Temecula, CA 92590-3729
Phone (951) 296-6140
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 |
|---|---|---|---|
| G26574 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of California Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| Ronald M Levin MD Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1437706124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922016534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42217 RIO NEDO",
"address_2": "A203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903729",
"telephone_number": "951-296-6140",
"fax_number": "951-296-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 MEDICAL CENTER DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625965",
"telephone_number": "951-296-6140",
"fax_number": "951-296-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "GREGORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G26574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.