WAYNE T. DEWRI PHYSICIAN ASSISTANT NPI 1467584532

NPI Information

  • NPI: 1467584532
  • Provider Name: WAYNE T. DEWRI, PHYSICIAN ASSISTANT
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10430 RHONDDA ST
    REDLANDS, CA
    ZIP 92374
  • Phone: (909) 796-8206

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NPI Details

Wayne T. Dewri, PHYSICIAN ASSISTANT is a neuromusculoskeletal medicine omm in Redlands, CA with 21 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. Wayne T. Dewri, PHYSICIAN ASSISTANT NPI is 1467584532. 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:

10430 RHONDDA ST
REDLANDS, CA
ZIP 92374-881
Phone: (909) 796-8206

The NPI 1467584532 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 12/7/2009.

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
1363A00000XPhysician AssistantPA18316CALIFORNIANo
2204D00000XNeuromusculoskeletal Medicine & OMMPA 18316CALIFORNIAYes

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
11467584532MEDICAIDCALIFORNIA
2AU646YMEDICARE PINCALIFORNIA

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: 11/21/2025

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