Active NPI
Stephen Clinton Wellens, D.C., D.A.C.N.B.
- Chiropractor
- Walnut Creek, CA
National Provider Identifier
1376550152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29195
- Practice address
- 1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359 - Phone
- (925) 935-2422
- Fax
- (925) 930-0412
- NPI assigned
- Aug 2, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 29195 | CA | Primary |
| Neurology Chiropractor | 111NN0400X | 29195 | CA |
Addresses
Primary practice location
1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359
Mailing address
1229 Oakland Blvd
Suite D
Walnut Creek, CA 94596-4359
Phone (925) 935-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040812001513 | CA | Practitioner - Chiropractic | 4789657313 | Practice locations: Brentwood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1120 2ND St
Suite a
Brentwood, CA 94513-2234
Phone (925) 480-4246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29195 | CA | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376550152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 OAKLAND BLVD",
"address_2": "SUITE D",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964359",
"telephone_number": "925-935-2422",
"fax_number": "925-930-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 OAKLAND BLVD",
"address_2": "SUITE D",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964359",
"telephone_number": "925-935-2422",
"fax_number": "925-930-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLENS",
"first_name": "STEPHEN",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "D.C., D.A.C.N.B.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29195",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "29195",
"primary": false
}
],
"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 11, 2025; 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.