1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. General Practice
  6. NPI Profile

WENSLEY M KEITH MD PC
NPI 1174357768
General Practice in Newport Beach, CA

Active since August 27, 2024
1601 DOVE ST STE 170, NEWPORT BEACH, CA 92660(949) 610-5240 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2025, Dec 10, 2024, Sep 3, 2024 (3 updates tracked since 2024).

About Wensley M Keith Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENSLEY M KEITH MD PC (NPI 1174357768) is a healthcare organization registered as a general practice in Newport Beach, California and active in the NPI registry since August 2024. The organization lists Tammy Knickerbocker, Manager, as its authorized official.

NPPES Registry Identity

NPI1174357768
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWENSLEY M KEITH MD PC
Location Address1601 DOVE ST STE 170Newport Beach, CA 92660-1421
Mailing Address1601 Dove St Ste 170Newport Beach, CA 92660-1421 · (949) 610-5240
Phone(949) 610-5240
Organization SubpartNo
Authorized OfficialTammy KnickerbockerManager · (949) 610-5240
Enumeration DateAugust 27, 2024
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1174357768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1601 DOVE ST STE 170, Newport Beach, CA 92660
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER JOHN MURAN MD
Internal Medicine
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
Orange County (888) 315-4777
K. WENSLEY. MICHAEL MD, PC
General Practice
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 674-9081
MICHAEL KEITH WENSLEY MD INC A MEDICAL CORPORATION
Specialist
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 467-9081
WENSLEY M KEITH MD, PC
General Practice
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
Orange County (949) 467-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wensley M Keith MD PC's NPI number?

The NPI number for Wensley M Keith MD PC is 1174357768. It was assigned to this organization in the NPPES registry on August 27, 2024.

Where is Wensley M Keith MD PC located?

Wensley M Keith MD PC is located at 1601 Dove St Ste 170, Newport Beach, CA 92660. The listed phone number is (949) 610-5240.

What is Wensley M Keith MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wensley M Keith MD PC was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.