Individual provider Active NPI

Orest Wesely, M.D.

  • Orthopaedic Surgery Physician
  • Stockton, CA
National Provider Identifier
1184038960
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A23042 Issued in CA
Practice address
4449 Saint Andrews Dr
Stockton, CA 95219-1849
Phone
(209) 957-5565
Fax
(209) 957-2324
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A23042 CA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A23042 CA

Addresses

Primary practice location

4449 Saint Andrews Dr
Stockton, CA 95219-1849

Mailing address

PO Box 7506
Stockton, CA 95267-0506
Phone (209) 957-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A23042CAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1184038960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7506",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670506",
            "telephone_number": "209-957-5565",
            "fax_number": "209-957-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 SAINT ANDREWS DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191849",
            "telephone_number": "209-957-5565",
            "fax_number": "209-957-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESELY",
        "first_name": "OREST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A23042",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A23042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.