Jedediah Larsen Wheeler
DO | Pediatrics | Male
Jedediah Larsen Wheeler, DO is a Capitola, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jedediah Larsen Wheeler is
1820 41st Ave Ste D, Capitola, California - 95010-2516. He can be contacted on phone at
831-476-3000 and fax number 831-476-9009.
Jedediah Larsen Wheeler is a sole proprietor of his business.
NPI number (Unique professional ID) for Jedediah Larsen Wheeler is
1861796989 which was assigned by NPPES on 04 Jan, 2011 and it was last updated on 14 Mar, 2018.
Jedediah Larsen Wheeler license number is
20A11998 for Pediatrics (208000000X) in California.
Jedediah Larsen Wheeler is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jedediah Larsen Wheeler basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jedediah Larsen Wheeler |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Jedediah Larsen Wheeler address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1820 41st Ave Ste D
Capitola, CA, 95010-2516
United States |
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| Phone Number : | 831-476-3000 |
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| Fax Number : | 831-476-9009 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861796989 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2011 |
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| Last Updated On : | 14 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jedediah Larsen Wheeler are as mentioned. Primary taxonomy code for Jedediah Larsen Wheeler, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20A11998 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3400 Data Dr, Attn: Credentialing/payer Enrollment
Rancho Cordova, CA, 95670-7956
United States |
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Business Location:
Patients can refer following map for directions to
Jedediah Larsen Wheeler practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.