Active NPI
Wendell E Wettstein, MD
- General Practice Physician
- Victorville, CA
National Provider Identifier
1871551564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G31737
- Practice address
- 12408 Hesperia Rd
Suite 2
Victorville, CA 92395-7718 - Phone
- (760) 553-7000
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G31737 | CA | Primary |
Addresses
Primary practice location
12408 Hesperia Rd
Suite 2
Victorville, CA 92395-7718
Mailing address
12370 Hesperia Rd
Suite 6
Victorville, CA 92395-7719
Phone (760) 245-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31737 | CA | MD | Dental Hygienist |
| G31737 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs Corona Inc | Past | Accepting new patients | |
| Rupal B, Shah, MD., Inc | Past | Accepting new patients |
Interoperability endpoints
- wendell.wettstein.p2@direct.hvvmg.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Corona, CA
- NPI 1144483611
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1871551564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12370 HESPERIA RD",
"address_2": "SUITE 6",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957719",
"telephone_number": "760-245-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12408 HESPERIA RD",
"address_2": "SUITE 2",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957718",
"telephone_number": "760-553-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTSTEIN",
"first_name": "WENDELL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G31737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.