Wade Faerber D.O., a Medical Corporation

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

20A6291 Issued in CA

Legal business name

WADE FAERBER D.O., A MEDICAL CORPORATION

Practice address

40949 Winchester Rd
Temecula, CA 92591-6031

Phone

(951) 696-9061

Fax

(951) 696-9262

NPI assigned

Dec 3, 2007

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wade Faerber, D.O.NPI 1700856713

Title

President

Phone

(951) 296-6676

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wade Faerber, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Temecula, CA
  • NPI 1700856713
  Authorized official Same address or phone

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1972785889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641007",
            "telephone_number": "951-696-9061",
            "fax_number": "951-696-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40949 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-696-9061",
            "fax_number": "951-696-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE FAERBER D.O., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "FAERBER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-296-6676",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A6291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Quoc Vuong
• Sandra Vuong
• W Peng Dental Corporation
• Waddell Dialysis LLC (Redhawk Dialysis)
• Diane D Waddell, PHD
• Shirley K Wade
• Valarie Wade
• Cali Waggoner
• Jeanine Christine Wagner, FNP
• Kristine Tiffany Wagner, PH.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.