Active NPI
David I Wells, DPM
- Foot & Ankle Surgery Podiatrist
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
6000 Fairway Dr
Suite 18
Rocklin, CA 95677-4246
Phone (916) 435-5200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 49 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 563 |
| Removal or shaving of skin growth | 463 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3571 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 3571 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Bay Area Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Internal Medicine Physician
- Pismo Beach, CA
- NPI 1215376496
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Pediatric Urology Physician
- Huntersville, NC
- NPI 1881707487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.