DR. WAYNE ELLSWORTH SPRUCE MD NPI 1780761320

NPI Information

NPI: 1780761320
Provider Name: DR. WAYNE ELLSWORTH SPRUCE, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
6160 MISSION GORGE RD
SUITE 400
SAN DIEGO, CA
ZIP 92120
Phone: (619) 528-4010
Get Directions

DR. Wayne Ellsworth Spruce, MD is a pediatric hematology-oncology pediatrics in San Diego, CA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Wayne Ellsworth Spruce, MD NPI is 1780761320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6160 MISSION GORGE RD
SUITE 400
SAN DIEGO, CA
ZIP 92120-410
Phone: (619) 528-4010
Fax: (619) 528-4077

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	A24022	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A240220	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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