Active NPI
Wendell C Witte, M.D.
- Family Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1962416339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C26304
- Practice address
- 18785 Brookhurst St Ste 200
Fountain Valley, CA 92708-7300 - Phone
- (714) 378-5330
- Fax
- (714) 378-5320
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C26304 | CA | Primary |
Addresses
Primary practice location
18785 Brookhurst St Ste 200
Fountain Valley, CA 92708-7300
Mailing address
PO Box 3699
Newport Beach, CA 92659-8699
Phone (657) 241-3600
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 |
|---|---|---|---|
| C26304 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent Dat Nguyen Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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
- Buena Park, CA
- NPI 1376818872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1962416339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3699",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926598699",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18785 BROOKHURST ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087300",
"telephone_number": "714-378-5330",
"fax_number": "714-378-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTE",
"first_name": "WENDELL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C26304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.