Active NPI
Scott Michael De Wenter, DPM
- Podiatrist
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4080
- Practice address
- 600 Central Ave
Ste G
Lake Elsinore, CA 92530-2740 - Phone
- (951) 245-7472
- Fax
- (951) 674-1156
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4080 | CA | Primary |
Addresses
Primary practice location
600 Central Ave
Ste G
Lake Elsinore, CA 92530-2740
Mailing address
600 Central Ave
Ste G
Lake Elsinore, CA 92530-2740
Phone (951) 245-7472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E40800 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Central Ave
Ste. G
Lake Elsnore, CA 92530-2740
Phone (951) 245-7472
600 Central Ave G
Lake Elsinore, CA 92530-2740
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 960 |
| Removal or shaving of skin growth | 77 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4080 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Foot Care PC | Podiatrist | Current | Accepting new patients |
| Socal Foot Care PC | Podiatrist | Current | Accepting new patients |
| Pacifica Menifee Valley Opco LP | Past | Accepting new patients | |
| The Springwood Podiatry Group, a Profesional Corporation | Podiatrist | Past | Accepting new patients |
| Joseph Nevarez MD CWS Inc | Past | Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Past | Accepting new patients | |
| Bradley Road Holdings LLC | Past | Accepting new patients |
Locations
255 N Gilbert St
Ste B1
Hemet, CA 92543
Phone (951) 652-4386
9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218
28078 Baxter Rd
Ste 424
Murrieta, CA 92563
Phone (951) 679-1020
39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611
Interoperability endpoints
- scott.dewenter.1@20181.direct.athenahealth.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.
-
- Foot & Ankle Surgery Podiatrist
- La Jolla, CA
- NPI 1023723913
-
- Foot & Ankle Surgery Podiatrist
- Chula Vista, CA
- NPI 1225998313
-
- Assisted Living Facility
- Sun City, CA
- NPI 1639921166
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wildomar, CA
- NPI 1821104688
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Assisted Living Facility
- Sun City, CA
- NPI 1427800127
-
- Foot & Ankle Surgery Podiatrist
- Hemet, CA
- NPI 1891879334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376569194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE",
"address_2": "STE G",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-245-7472",
"fax_number": "951-674-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CENTRAL AVE",
"address_2": "STE G",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925302740",
"telephone_number": "951-245-7472",
"fax_number": "951-674-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE WENTER",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E40800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.