DR. RUDOLPH WIETFELDT PSYD
NPI 1245618032
Psychologist - Clinical in Oceanside, CA
About Dr. Rudolph Wietfeldt Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUDOLPH WIETFELDT PSYD (NPI 1245618032) is an individual clinical provider in Oceanside, California, licensed in California (PSY33705) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rudolph Wietfeldt Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rudolph Wietfeldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oceanside, CA 92054
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCEANSIDE, CA 92054
OCEANSIDE, CA 92054
OCEANSIDE, CA 92054
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 Rudolph Wietfeldt's NPI number?
The NPI number for Rudolph Wietfeldt is 1245618032. It was assigned to this individual provider in the NPPES registry on May 12, 2015.
Where is Rudolph Wietfeldt located?
Rudolph Wietfeldt practices at 2181 S El Camino Real Suite 202, Oceanside, CA 92054. The listed phone number is (760) 929-9010.
What is Rudolph Wietfeldt's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Rudolph Wietfeldt enrolled in Medicare?
Yes. Rudolph Wietfeldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rudolph Wietfeldt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Wietfeldt reassigns Medicare benefits to R & L Quest LLC (Oceanside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rudolph Wietfeldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rudolph Wietfeldt was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Rudolph Wietfeldt, PSYD · NPI 1245618032
Clinical provider in Oceanside, California. Individual provider, active in the CMS NPPES registry since May 12, 2015.
## Identity
- **NPI:** 1245618032 (Entity type: Individual)
- **Enumerated:** May 12, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY33705 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2181 S EL CAMINO REAL, SUITE 202, Oceanside, CA 92054-6220
- **Phone:** (760) 929-9010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** R & L Quest LLC (NPI 1891475059, Oceanside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245618032) · Data from the CMS NPPES public registry.