Michael Keith Wensley MD Inc a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G78267 Issued in CA

Legal business name

MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION

Practice address

1601 Dove St Ste 170
Newport Beach, CA 92660-1421

Phone

(949) 467-9081

Fax

(714) 429-1685

NPI assigned

Dec 14, 2009

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael K Wensley, MDNPI 1841336740

Title

President

Phone

(949) 705-8226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• K. Wensley. Michael MD, PC

  • General Practice Physician
  • Newport Beach, CA
  • NPI 1245069277
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael K. Wensley, M.D.

  • Specialist
  • West Hollywood, CA
  • NPI 1841336740
  Medicare reassignment Authorized official
• David A McDonough, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1295866341
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1861721250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601421",
            "telephone_number": "949-467-9081",
            "fax_number": "209-203-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601421",
            "telephone_number": "949-467-9081",
            "fax_number": "714-429-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "WENSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-705-8226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Sundine, M.D., Inc.
• Michael J. Gahagan, D.D.S., a Professional Corporation
• Michael J. Hattan DPM, a Professional Podiatric Medical Corporation (Newport Family Podiatry)
• Michael J. Snyder, D.C.
• Michael Jack Grossman, M.D., Inc (BodyLogicMD of Irvine)
• Michael Kermani, MD, Inc (Newport Eye Physicians)
• Michael P Weinstein, MD Inc.
• Michael Shahbazian MD Inc, a Professional Corporation
• Michael Wesley Summerlin PHD Ek Psych
• Soleil Marie Michaelian

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.