K. WENSLEY. MICHAEL MD, PC
NPI 1245069277
General Practice in Newport Beach, CA

Active since July 29, 2024
1601 DOVE ST STE 170, NEWPORT BEACH, CA 92660(949) 674-9081(209) 203-1036 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Aug 6, 2024, Jul 29, 2024 (3 updates tracked since 2024).

About K. Wensley. Michael Md, Pc NPPES

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

K. WENSLEY. MICHAEL MD, PC (NPI 1245069277) is a healthcare organization registered as a general practice in Newport Beach, California and active in the NPI registry since July 2024. The organization lists Tammy Knickerbocker, Manager, as its authorized official.

NPPES Registry Identity

NPI1245069277
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameK. WENSLEY. MICHAEL MD, PC
Location Address1601 DOVE ST STE 170Newport Beach, CA 92660-1421
Mailing Address1601 Dove St Ste 170Newport Beach, CA 92660-1421 · (949) 674-9081 · Fax (209) 203-1036
Fax(209) 203-1036
Organization SubpartYesParent: Michael Keith Wensley Md Inc A Medical Corporation
Authorized OfficialTammy KnickerbockerManager · (949) 467-9081
Enumeration DateJuly 29, 2024
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1245069277 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

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.

Internal Medicine
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
General Practice
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
General Practice
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660
Specialist
1601 DOVE ST STE 170
NEWPORT BEACH, CA 92660

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 K. Wensley. Michael MD, PC's NPI number?

The NPI number for K. Wensley. Michael MD, PC is 1245069277. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is K. Wensley. Michael MD, PC located?

K. Wensley. Michael MD, PC is located at 1601 Dove St Ste 170, Newport Beach, CA 92660. The listed phone number is (949) 674-9081.

What is K. Wensley. Michael 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 K. Wensley. Michael MD, PC was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.