Active NPI
Leland G Wessel, M.D.
- Occupational Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- G55184
- Practice address
- 4085 Governor Dr
San Diego, CA 92122-2522 - Phone
- (714) 389-5700
- Fax
- (714) 389-6973
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 18, 2016
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G55184 | CA | |
| Occupational Medicine Physician | 2083X0100X | G55184 | CA | Primary |
Addresses
Primary practice location
4085 Governor Dr
San Diego, CA 92122-2522
Mailing address
5700 Hardy Ave
San Diego, CA 92182-4701
Phone (619) 594-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G551840 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2624 S 38TH St
Tacoma, WA 98409-7308
Phone (253) 475-5908
3101 111TH St SW
Unit Tu
Everett, WA 98204-3590
Phone (425) 267-0299
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55184 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060
3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299
9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Seattle, WA
- NPI 1073096871
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Spokane, WA
- NPI 1881177681
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1962984492
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1609988633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 HARDY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921824701",
"telephone_number": "619-594-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 GOVERNOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222522",
"telephone_number": "714-389-5700",
"fax_number": "714-389-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSEL",
"first_name": "LELAND",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G55184",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "G55184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G551840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.