NPIMap

Organization Active NPI

Wynnson W Tom MD a Medical Corporation

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1942590971
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A101740 Issued in CA
Legal business name
WYNNSON W TOM MD A MEDICAL CORPORATION
Practice address
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone
(714) 378-7000
Fax
(714) 647-1245
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Wynnson Wei Tom, M.D.
Title
President
Phone
(415) 823-9296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A101740 CA Primary

Addresses

Primary practice location

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1942590971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000",
            "fax_number": "714-647-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNSON W TOM MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "WYNNSON",
        "authorized_official_middle_name": "WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-823-9296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A101740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.