KENNETH WELLS
NPI 1720090657
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Kenneth Wells NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WELLS (NPI 1720090657) is an individual psychiatry provider in Los Angeles, California, licensed in California (G30121) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1974).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Wells 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Kenneth Wells's NPI number?
The NPI number for Kenneth Wells is 1720090657. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Kenneth Wells located?
Kenneth Wells practices at 300 Medical Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9989.
What is Kenneth Wells's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kenneth Wells enrolled in Medicare?
Yes. Kenneth Wells 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.
When was this NPI record last updated?
The NPPES record for Kenneth Wells was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kenneth Wells · NPI 1720090657
Psychiatry physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1720090657 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** G30121 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 MEDICAL PLZ, Los Angeles, CA 90095-0001
- **Phone:** (310) 825-9989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1974
## Record status
- **NPPES last updated:** May 1, 2012
- **Other identifiers:** Other 00G301210 (CA); Medicare ID-Type Unspecified WG30121A (CA); Medicare UPIN A91266 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720090657) · Data from the CMS NPPES public registry.