Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesse Ryan Wyatt, MD

Individual provider Pediatrics Physician · NPI 1508205154

Dr. Jesse Ryan Wyatt, MD is a Pediatrics Physician in Ventura, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hillmont Ave
Ventura, CA 93003
Phone: (805) 652-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence A126356 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A126356 (CA)

Record details

NPI number1508205154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address11234 Anderson St, Gme Office Westerly Suite 'C, Loma Linda, CA 92354-2804

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