Active NPI
Michael Eugene Wettstein, MD
- Pain Medicine (Anesthesiology) Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A67921
- Practice address
- 11406 Loma Linda Dr Ste 516
Loma Linda, CA 92354-3711 - Phone
- (909) 558-6204
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A67921 | CA | Primary |
Addresses
Primary practice location
11406 Loma Linda Dr Ste 516
Loma Linda, CA 92354-3711
Mailing address
11406 Loma Linda Dr Ste 516
Loma Linda, CA 92354-3711
Phone (909) 558-6204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00415474 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67921 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oregon Spine and Sports, LLC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Anesthesiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Bend Anesthesiology Group, PC | Anesthesiology | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
2115 NE Wyatt Ct
Ste 101
Bend, OR 97701
Phone (541) 318-0124
Interoperability endpoints
- mwettstein75310@direct.llu.edu
- https://fhir4.healow.com/fhir/r4/GGIJBD
- michael.wettstein.p2@direct.hvvmg.nextgenshare.com
Organizations & group practices 7
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Bend, OR
- NPI 1699827477
-
- Physical Medicine & Rehabilitation Physician
- Bend, OR
- NPI 1497293054
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1073563748
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Anesthesiology
-
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
- Anesthesiology Physician
- Bend, OR
- NPI 1467400200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1245271303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 LOMA LINDA DR STE 516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543711",
"telephone_number": "909-558-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 LOMA LINDA DR STE 516",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543711",
"telephone_number": "909-558-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTSTEIN",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A67921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415474",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.