Organization Active NPI

Wellspect Inc

  • Durable Medical Equipment & Medical Supplies
  • Camarillo, CA
National Provider Identifier
1255920518
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLSPECT INC
Practice address
1297 Flynn Rd Ste 230
Camarillo, CA 93012-8041
Phone
(877) 456-3742
Fax
(866) 666-6250
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ryan Dobrez
Title
Officer
Phone
(815) 341-9291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1297 Flynn Rd Ste 230
Camarillo, CA 93012-8041

Mailing address

1235 Friendship Rd Ste 205
Braselton, GA 30517-5626
Phone (877) 356-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211222000079 CA DME Supplier - Medical Supply Company 9436574795 Practice locations: Camarillo, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wellspect Inc1297 Flynn Rd, Camarillo, CA 93012-8041(877) 456-3742 Ostomy Supplies|Urological Supplies Accepts assignmentParticipating since Jul 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Wellspect Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1297 Flynn Rd
Ste 230
Camarillo, CA 93012
Phone (877) 456-3742

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1255920518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 FRIENDSHIP RD STE 205",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175626",
            "telephone_number": "877-356-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 FLYNN RD STE 230",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128041",
            "telephone_number": "877-456-3742",
            "fax_number": "866-666-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "DOBREZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "815-341-9291"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.