WENDELL MARK STREET M.D.
NPI 1437240314
Anesthesiology - Pain Medicine in Victorville, CA

NPI Status: Active since September 27, 2006

Contact Information

14075 HESPERIA RD
SUITE 205
VICTORVILLE, CA
ZIP 92395
Phone: (760) 596-3708
Fax: (760) 596-3731

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  • Individual
  • Male
  • Anesthesiology
  • Pain Medicine

About WENDELL STREET

This page provides the complete NPI Profile along with additional information for Wendell Street, a provider established in Victorville, California with a medical specialization in Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1437240314 assigned on September 2006. The practitioner's primary taxonomy code is 207LP2900X with license number A43837 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1437240314
Provider Name
WENDELL MARK STREET M.D.
Gender
Male
Entity Type
Individual
Location Address
14075 HESPERIA RD SUITE 205 VICTORVILLE, CA 92395
Location Phone
(760) 596-3708
Location Fax
(760) 596-3731
Mailing Address
109 E 11TH ST CORONA, CA 92879
Mailing Phone
(951) 273-1000
Mailing Fax
(760) 596-3731
Is Sole Proprietor?
Yes
Enumeration Date
09-27-2006
Last Update Date
07-26-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
A43837
License State
CA
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
330619189OTHER (01)CAFEDERAL TAX ID
E80883MEDICARE UPIN (02)CA 
00A438370MEDICARE ID-TYPE UNSPECIFIED (04)CAMEDICARE PROVIDER ID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437240314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246744032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 4 + 4 + 0 + 3 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1437240314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942345947 DANIEL LESLIE PLETSCH P.A.
Individual
Physician Assistant (Medical)14075 HESPERIA RD SUITE 207
VICTORVILLE, CA 92395
(760) 955-6458
1497752778 NUALHATHAI PRISCILLA SONGSANAND MD
Individual
Ophthalmology14075 HESPERIA RD STE 101
VICTORVILLE, CA 92395
(760) 245-3230
1558440230VICTORVILLE HHA SERVICES, LLC
Organization
Home Health14075 HESPERIA RD SUITE 204B
VICTORVILLE, CA 92395
(760) 241-5000
1851663504DR. AVIGAIL WARD LMFT
Individual
Marriage & Family Therapist14075 HESPERIA RD SUITE 105
VICTORVILLE, CA 92395
(760) 885-0806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437240314, enumerated in the NPI registry as an "individual" on September 27, 2006

The provider is located at 14075 Hesperia Rd Suite 205 Victorville, Ca 92395 and the phone number is (760) 596-3708

The provider's speciality is Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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