Individual provider Active NPI

Danielle Diana Wells, PA-C

  • Medical Physician Assistant
  • Cypress, CA
National Provider Identifier
1750466181
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA18693 Issued in CA
Practice address
10165 Valley View St
Cypress, CA 90630-4602
Phone
(714) 252-5016
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA18693 CA Primary

Addresses

Primary practice location

10165 Valley View St
Cypress, CA 90630-4602

Mailing address

10165 Valley View St
Cypress, CA 90630-4602
Phone (714) 252-5016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000222 CA Practitioner - Physician Assistant 4880799337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

10165 Valley View St
Cypress, CA 90630-4602
Phone (714) 252-5016

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18693CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Mar 1, 2022 Accepting new patients
Orange County Urgent Care #3, Inc. CurrentSince Aug 27, 2014 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2415 E Imperial Hwy
Brea, CA 92821
Phone (714) 255-1640

3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227

10165 Valley View St
Cypress, CA 90630
Phone (657) 348-2427

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

1040 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 451-1072

78965 Highway 111
Ste 100
La Quinta, CA 92253
Phone (706) 777-7847

78965 Highway 111
#100
La Quinta, CA 92253
Phone (760) 777-7847

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1750466181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304602",
            "telephone_number": "714-252-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304602",
            "telephone_number": "714-252-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DANIELLE",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.