Statements: WENDELL MARK SR STREET

Canonical ID: NK-4DhEKrxxaXmF77GN7hphfk · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Person:address`	14075 Hesperia Road., Suite 205, Victorville, CA, 92395	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:address`	14075 HESPERIA RD, SUITE 205, VICTORVILLE, CA 923954500		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:address`	109 E 11TH ST, CORONA, CA 928792157		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:address`	3901 KLEIN BLVD, LOMPOC, CA 93436	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-06-06
`Person:birthDate`	1952-01-26		us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:country`	us		us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:country`	us		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:country`	us		us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:firstName`	Wendell	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:firstName`	WENDELL	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:firstName`	WENDELL		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:id`	e8af8cbfc18c9af97a324065a1f50c8c7d9c686c		us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:id`	e87fc16662f2b10d078a530f2e25c3b287f20f2b		us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2026-01-06
`Person:id`	f0c4f627a51e5a8e1af1841edee931ac8ca27421		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:lastName`	STREET		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:lastName`	STREET	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:lastName`	Street	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:middleName`	MARK SR	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-10-11
`Person:middleName`	MARK		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:name`	WENDELL MARK SR STREET	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:name`	Wendell Street	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:name`	WENDELL MARK STREET		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:npiCode`	1437240314		ext_us_cms_npi	`us-npi-1437240314`	2026-02-05
`Person:npiCode`	1437240314	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:npiCode`	1437240314	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-06-06
`Person:position`	PAIN MANAGEMENT (PHYSICIAN (MD, DO))	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:programId`	US-HHS-OIG	eng	us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2025-09-12
`Person:registrationNumber`	00A438372	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:registrationNumber`	A43837	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:registrationNumber`	00A438371	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:registrationNumber`	00A438370	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:sector`	Physician	eng	us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01
`Person:topics`	debarment		us_hhs_exclusions	`us-fed-excl-wendell-mark-sr-street-93436-lompoc`	2024-05-08
`Person:topics`	debarment		us_ca_med_exclusions	`us-medca-f6e32730e575f9615ae4baeeb0df86e84508ffdb`	2025-11-01

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