1. Home
  2. Directory
  3. California
  4. Riverside
  5. General Practice
  6. NPI Profile

DR. THEODORE EUGENE WYMAN M.D.
NPI 1083926919
General Practice in Riverside, CA

Active since July 08, 2010PECOS Enrolled
3579 ARLINGTON AVE STE 300, RIVERSIDE, CA 92506(951) 341-9333(951) 341-9330 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Eugene Wyman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE EUGENE WYMAN M.D. (NPI 1083926919) is an individual general practice provider in Riverside, California, licensed in California (A104884) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083926919
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THEODORE EUGENE WYMANCredential: M.D.
Location Address3579 ARLINGTON AVE STE 300Riverside, CA 92506-3915
Mailing Address3579 Arlington Ave Ste 300Riverside, CA 92506-3915 · (951) 341-9333 · Fax (951) 341-9330
Phone(951) 341-9333
Fax(951) 341-9330
Sole ProprietorNo
Enumeration DateJuly 8, 2010
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1083926919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A104884
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A104884 (CA)
3579 ARLINGTON AVE STE 300, Riverside, CA 92506
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Eugene Wyman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGILE OCCUPATIONAL MEDICINE, PC
Clinic/Center (Occupational Medicine)
3579 ARLINGTON AVE STE 300
RIVERSIDE, CA 92506
Riverside County (951) 341-9333
MR. CRAIG ANSON CLARK PA-C
Preventive Medicine (Occupational Medicine)
3579 ARLINGTON AVE STE 300
RIVERSIDE, CA 92506
Riverside County (951) 341-9333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Wyman's NPI number?

The NPI number for Theodore Wyman is 1083926919. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Theodore Wyman located?

Theodore Wyman practices at 3579 Arlington Ave Ste 300, Riverside, CA 92506. The listed phone number is (951) 341-9333.

What is Theodore Wyman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Theodore Wyman enrolled in Medicare?

Yes. Theodore Wyman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Wyman was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.