Individual provider Active NPI

Martin W. Wieler, M.D.

  • Diagnostic Radiology Physician
  • Santa Ana, CA
National Provider Identifier
1689610552
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G30123 Issued in CA
Practice address
1220 Hemlock Way
Suite 106
Santa Ana, CA 92707-3650
Phone
(714) 545-9441
Fax
(714) 545-9486
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G30123 CA Primary

Addresses

Primary practice location

1220 Hemlock Way
Suite 106
Santa Ana, CA 92707-3650

Mailing address

1220 Hemlock Way
Suite 106
Santa Ana, CA 92707-3650
Phone (714) 545-9441

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
I20040409000429 CA Practitioner - Diagnostic Radiology 1254324338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12555 Garden Grove Blvd
Suite 103
Garden Grove, CA 92843-1903
Phone (714) 537-1965

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G30123CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wieler & Sein Medical Group Diagnostic Radiology CurrentSince Apr 1, 2010 Accepting new patients
Garden Grove MRI Center Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients

Locations

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

12555 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 537-1965

23521 Paseo de Valencia
Ste 113
Laguna Hills, CA 92653
Phone (714) 545-9441

24902 Moulton Pkwy
Laguna Woods, CA 92637
Phone (949) 215-1560

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2621 S Bristol St
Ste 108
Santa Ana, CA 92704
Phone (714) 241-9070

1220 Hemlock Way
Ste 106
Santa Ana, CA 92707
Phone (714) 545-9441

Organizations & group practices 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1689610552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "SUITE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-545-9441",
            "fax_number": "714-545-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "SUITE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-545-9441",
            "fax_number": "714-545-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELER",
        "first_name": "MARTIN",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G30123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.