Organization Active NPI

Stephen R. Wells, M.D.

  • Obstetrics Physician
  • Walnut Creek, CA
National Provider Identifier
1134453061
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A49731 Issued in CA
Legal business name
STEPHEN R. WELLS, M.D.
Practice address
110 Tampico
Suite 220
Walnut Creek, CA 94598-2998
Phone
(925) 935-5356
Fax
(925) 935-1070
NPI assigned
Sep 24, 2009
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Robert Wells, M.D.NPI 1659385151
Title
Owner Doctor
Phone
(925) 935-5356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A49731 CA Primary

Addresses

Primary practice location

110 Tampico
Suite 220
Walnut Creek, CA 94598-2998

Mailing address

110 Tampico
Suite 220
Walnut Creek, CA 94598-2998
Phone (925) 935-5356

National Provider Directory

National Provider Directory

Locations

110 Tampico
Ste 220
Walnut Creek, CA 94598
Phone (925) 935-5356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1134453061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "SUITE 220",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982998",
            "telephone_number": "925-935-5356",
            "fax_number": "925-935-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "SUITE 220",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982998",
            "telephone_number": "925-935-5356",
            "fax_number": "925-935-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. WELLS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "925-935-5356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A49731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.