Individual provider Active NPI

Ryan D Wells, M.D.

  • Dermatology Physician
  • Ventura, CA
National Provider Identifier
1184697658
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A73951 Issued in CA
Practice address
168 N Brent St Ste 403B
Ventura, CA 93003-2824
Phone
(805) 948-6920
Fax
(805) 948-1501
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A73951 CA
Dermatopathology Physician 207ND0900X A73951 CA
Procedural Dermatology Physician 207NS0135X A73951 CA
Dermatology Physician 207N00000X A73951 CA Primary

Addresses

Primary practice location

168 N Brent St Ste 403B
Ventura, CA 93003-2824

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 948-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000624 CA Practitioner - DermatologyPractitioner - Emergency Medicine 5890879498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

168 N Brent St
Suite 403B
Ventura, CA 93003-2824
Phone (805) 948-6920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of skin lesions337
Removal of skin cancer361
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73951CAMDPharmacist
A73951CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Jul 1, 2022 Accepting new patients
Csi Medical Group Dermatology CurrentSince Oct 1, 2018 Accepting new patients
Community Physicians of Ventura County CurrentSince Aug 1, 2022 Accepting new patients
Community Physicians of Ventura County Current Accepting new patients
Community Memorial Health System CurrentSince Jul 1, 2022 Accepting new patients
Community Memorial Health System Current Accepting new patients

Locations

2438 N Ponderosa Dr
Ste C105
Camarillo, CA 93010
Phone (805) 308-2068

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2438 N Ponderosa Dr
#C150
Camarillo, CA 93010

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

1700 N Rose Ave
Ste 370
Oxnard, CA 93030
Phone (805) 388-2068

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

168 N Brent St
Ste 403B
Ventura, CA 93003
Phone (805) 643-5438

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rwells3514613@oc.providencedirect.org
  • Direct secure messaging: ryanwells@cfh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1184697658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-948-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 403B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-948-6920",
            "fax_number": "805-948-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A73951",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A73951",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A73951",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.