Individual provider Active NPI

Wernher Ovalle, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1417901661
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68507 Issued in CA
Practice address
9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone
(714) 845-5900
Fax
(714) 845-5922
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A68507 CA Primary

Addresses

Primary practice location

9131 Adams Ave
Huntington Beach, CA 92646-3462

Mailing address

PO Box 15775
Newport Beach, CA 92659-5775
Phone (657) 241-3600

Other practice location 1

520 Superior Ave Ste 200
Newport Beach, CA 92663-3642
Phone (949) 642-0900

Other practice location 2

366 San Miguel Dr Ste 200
Newport Beach, CA 92660-7810
Phone (949) 642-0900

Other practice location 3

2001 Westcliff Dr Ste 200
Newport Beach, CA 92660-5552
Phone (714) 845-5900

Other identifiers 1

IdentifierTypeStateIssuer
WA68507COtherCAMEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000867 CA Practitioner - Internal Medicine 1456440593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9131 Adams Ave
Huntington Beach, CA 92646-3462
Phone (714) 845-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68507CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Family Doctors Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Beach Family Doctors Medical Group Current Accepting new patients
Newport Beach Internal Medicine Inc. Internal Medicine Past Accepting new patients

Locations

9131 Adams Ave
Huntington Beach, CA 92646
Phone (714) 845-5900

366 San Miguel Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 642-0900

2001 Westcliff Dr
Ste 200
Newport Beach, CA 92660
Phone (714) 845-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wovalle851453@direct.memorialcare.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1417901661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15775",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595775",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463462",
            "telephone_number": "714-845-5900",
            "fax_number": "714-845-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Superior Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633642",
            "country_code": "US",
            "telephone_number": "949-642-0900",
            "fax_number": "949-642-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 San Miguel Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607810",
            "country_code": "US",
            "telephone_number": "949-642-0900",
            "fax_number": "949-642-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Westcliff Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605552",
            "country_code": "US",
            "telephone_number": "714-845-5900",
            "fax_number": "714-845-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVALLE",
        "first_name": "WERNHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WA68507C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.