Wendy Jessica Amezcua, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

19888 Issued in CA

Practice address

7798 Cherry Ave
Fontana, CA 92336-4014

Phone

(909) 355-1296

Fax

(909) 355-1333

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Jessica Bailey Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Compre Hensive Primary Care Medical Associates, Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1982786620
  Medicare reassignment
• Precision Occupational Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • West Covina, CA
  • NPI 1821290024
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1982854865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 WRANGLER RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093233",
            "telephone_number": "714-747-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 CHERRY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364014",
            "telephone_number": "909-355-1296",
            "fax_number": "909-355-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZCUA",
        "first_name": "WENDY",
        "middle_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BAILEY",
            "middle_name": "JESSICA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Amarin, LCSW
• Lisa Marie Amato
• Felipe Amaya, LCSW
• Syeda Ameena
• Amenah Senior Homes LLC
• Amit Nayyar DDS Inc
• Nkiruka Christina Anakor
• Sumeet Anand, D.O.
• Katerina-Elena C Ananiades, MD
• Amber Nicole Anaya

• Medical Physician Assistant in Fontana, CA
• Providers in Fontana, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.