Spencer H Wenger, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A33619 Issued in CA

Practice address

12618 Hawthorne Blvd.
Hawthorne, CA 90250-2325

Phone

(310) 263-5700

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

70.93 of 100Reported as group

Quality

20.35

Promoting interoperability

100

Improvement activities

40

Cost

71.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: swenger191541@oc.providencedirect.org

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.

• Prime Healthcare Centinela, LLC

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  NPD (past)
• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1649271040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 HAWTHORNE BLVD.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502325",
            "telephone_number": "310-263-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12618 HAWTHORNE BLVD.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502325",
            "telephone_number": "310-263-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "SPENCER",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swenger191541@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12618 Hawthorne Blvd.",
            "city": "Hawthorne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902502325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daisy Warren, FNP- C & PMHNP - BC
• Huynh Wat, PHARM D.
• Latay Watts, ACSW
• Joanna Marie Webber, R1250440517
• Rebecca Brina Weiss, PT
• West Coast Dental
• West Coast Outpatient Services, Inc
• Danielle Monique West
• Westcoast Dental
• Western Dental Services, Inc.

• Internal Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, 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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.