Individual provider · Type 1 NPI

Jesse Ryan Wyatt, MD

Pediatric Critical Care Medicine Physician · Ventura, CA

NPI number 1508205154 Active

Practice location

300 Hillmont Ave
Ventura, CA 93003

Call (805) 652-6000 Map

Mailing address

11234 Anderson St, Gme Office Westerly Suite 'c'
Loma Linda, CA 92354-2804

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XA126356 (CA)
Pediatric Critical Care Medicine Physician Primary 2080P0203XA126356 (CA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1508205154

Jesse Ryan Wyatt, MD's National Provider Identifier is 1508205154, issued on Jun 17, 2013. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Ventura, CA. The record was last updated on Mar 18, 2025.