Donald L Wentzel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G38071 Issued in CA

Practice address

905 Canyon View Dr
Laguna Beach, CA 92651-2612

Phone

(949) 494-4974

NPI assigned

May 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Donald Lee Wentzel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1417217522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CANYON VIEW DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512612",
            "telephone_number": "949-494-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CANYON VIEW DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512612",
            "telephone_number": "949-494-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "DONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "WENTZEL",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anne Weidner
• Sandra Cohn Weiss, PHD
• Aden Hailey Welle
• Wellness Clinic of Orange County Inc
• Kathleen Susan Wenger, M.A, LMFT, LPCC
• William Fenton White, MD
• Kendra Whitmire, MS
• John Howard Wieland, M.D.
• Zoe Wight, DC
• Teagan Willes, DDS

• Internal Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.

Verify at the official NPI Registry.