Individual provider Active NPI

David I Wells, DPM

  • Foot & Ankle Surgery Podiatrist
  • Modesto, CA
National Provider Identifier
1720041957
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3571 Issued in CA
Practice address
1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone
(209) 577-3388
Fax
(209) 575-5836
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3571 CA Primary

Addresses

Primary practice location

1541 Florida Ave Ste 103
Modesto, CA 95350-4438

Mailing address

1541 Florida Ave Ste 103
Modesto, CA 95350-4438
Phone (209) 577-3388

Other practice location 1

4101 Tully Rd
Suite 102
Modesto, CA 95356-8980
Phone (209) 529-0560

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000698 CA Practitioner - Podiatry 6103802434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

6000 Fairway Dr
Suite 18
Rocklin, CA 95677-4246
Phone (916) 435-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue563
Removal or shaving of skin growth463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3571CAMDFoot & Ankle Surgery Podiatrist
3571CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Dec 10, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Dec 10, 2016 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Feb 5, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2022 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Feb 5, 2024 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

5120 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 459-4398

6600 Mercy Ct
Ste 260
Fair Oaks, CA 95628
Phone (213) 739-3282

1580 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 961-3434

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

4101 Tully Rd
Ste 102
Modesto, CA 95356
Phone (209) 239-6008

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 103
Modesto, CA 95350
Phone (209) 572-1200

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

6000 Fairway Dr
Rocklin, CA 95677
Phone (916) 624-5000

6000 Fairway Dr
Ste 18
Rocklin, CA 95677
Phone (916) 435-5200

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2322 Butano Dr
Ste 201
Sacramento, CA 95825
Phone (916) 482-7830

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: david.wells.3@20181.direct.athenahealth.com

Organizations & group practices 8

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1720041957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388",
            "fax_number": "209-575-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 103",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388",
            "fax_number": "209-575-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Tully Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953568980",
            "country_code": "US",
            "telephone_number": "209-529-0560",
            "fax_number": "209-529-0563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "I",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.