Individual provider Active NPI

James Robert Wedell, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1578768081
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G040844 Issued in CA
Practice address
2433 Marconi Ave
Sacramento, CA 95821-4807
Phone
(916) 737-5555
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G040844 CA Primary

Addresses

Primary practice location

2433 Marconi Ave
Sacramento, CA 95821-4807

Mailing address

8637 Winding Way
Fair Oaks, CA 95628-6406
Phone (916) 220-7363

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G040844CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health Federally Qualified Health Center (FQHC) Current Accepting new patients

Locations

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1578768081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8637 WINDING WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286406",
            "telephone_number": "916-220-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214807",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDELL",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G040844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.