Individual provider Active NPI

Michael K. Wensley, M.D.

  • Specialist
  • West Hollywood, CA
National Provider Identifier
1841336740
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G78267 Issued in CA
Practice address
1356 N Fairfax Ave
West Hollywood, CA 90046-4713
Phone
(323) 876-8369
Fax
(323) 883-1858
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G78267 CA Primary

Addresses

Primary practice location

1356 N Fairfax Ave
West Hollywood, CA 90046-4713

Mailing address

1356 N Fairfax Ave
West Hollywood, CA 90046-4713
Phone (323) 876-8369

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
I20090522000456 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Infectious Disease 9739238692 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Careone Healthcare Group IncGroup PAC ID 6305358649, 3 clinicians
Life Health Care Medical Group IncGroup PAC ID 4587048657, 2 clinicians

Practice addresses (Care Compare)

16430 Vanowen St
Unit 207 a
Van Nuys, CA 91406-4729

222 N Mountain Ave
Suite 205
Upland, CA 91786-5714
Phone (716) 301-2036

505 N Tustin Ave
Suite 190
Santa Ana, CA 92705-3777
Phone (714) 784-5433

730 S Central Ave
Suite 211 B
Glendale, CA 91204-2061
Phone (818) 660-0068

Hospital & facility affiliations

  • Golden Life Home Health, Inc Home health agency, Canoga Park, CA, CCN 559448
  • K & K Home Health Care, Inc Home health agency, Glendale, CA, CCN 053120
  • Kind Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757606
  • All Weather Home Health Home health agency, Monterey Park, CA, CCN 757363
  • Peaceful Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757917

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wensley M Keith MD PC CurrentSince Jun 9, 2025 Accepting new patients
Remedial Patients Care Inc CurrentSince Mar 7, 2023 Accepting new patients
Life Health Care Medical Group Inc CurrentSince Sep 12, 2023 Accepting new patients
Onyx Medical Group Inc CurrentSince Dec 13, 2025 Accepting new patients
Careone Healthcare Group Inc CurrentSince May 15, 2025 Accepting new patients
Avida Health Systems Inc CurrentSince Jan 12, 2026 Accepting new patients
Trust Care Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Prompt Medical Service Inc CurrentSince Jan 12, 2026 Accepting new patients
Remedial Medical Services Inc CurrentSince Dec 14, 2025 Accepting new patients
Wensley M Keith MD, PC Past Accepting new patients
Whitehead Family Wellness Clinic PastSince Mar 12, 2024 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

1211 N Vermont Ave
Ste 100
Los Angeles, CA 90029
Phone (323) 663-0259

1601 Dove St
Ste 170
Newport Beach, CA 92660
Phone (949) 467-9081

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

505 N Tustin Ave
Ste 190
Santa Ana, CA 92705
Phone (714) 784-5433

222 N Mountain Ave
Ste 205
Upland, CA 91786
Phone (716) 301-2036

16430 Vanowen St
Unit 207A
Van Nuys, CA 91406
Phone (818) 660-0068

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1841336740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 N FAIRFAX AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464713",
            "telephone_number": "323-876-8369",
            "fax_number": "323-883-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 N FAIRFAX AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464713",
            "telephone_number": "323-876-8369",
            "fax_number": "323-883-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSLEY",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.