KENNETH WELLS (NPI# 1467437624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467437624 |
| Entity Type | Individual |
| Full Name | KENNETH WELLS |
| Credential | D.P.M. |
| Practice Address |
286 Euclid Ave Suite 204 San Diego CA 92114-3610 |
| Practice Telephone | 6195270051 |
| Practice Fax Number | 6195270056 |
| Mailing Telephone | 6195270051 |
| Mailing Fax Number | 6195270056 |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2007-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
E3455 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E34550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164727798 | Kenneth P Wells | Counselor | 1589 Steeple Dr, Suffolk, VA 23433-1615 | 2011-01-12 |
| 1023161080 | Kenneth Beckett Wells | Counselor | 15627 E Centipede Dr, Fountain Hills, AZ 85268-1530 | 2007-01-20 |
| 1346335551 | Kenneth Douglas Wells | Preventive Medicine | !001 Louisiana, Suite 1047, Houston, TX 77021 | 2006-10-04 |
| 1992989974 | Kenneth Ray Wells | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-26 |
| 1659550051 | Kenneth Alan Wells | Massage Therapist | 14780 Sw Osprey Dr, Suite 350, Beaverton, OR 97007-8028 | 2007-11-01 |
| 1720090657 | Kenneth Wells | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-08-12 |
| 1770593618 | Kenneth Wayne Wells | Psychiatry & Neurology | 943 N Church St, Psychiatric Associates of Spartanburg, Spartanburg, SC 29303-2712 | 2006-08-09 |
| 1629097506 | Kenneth Wells | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2006-07-19 |
| 1891722831 | Kenneth Lewis Wells | Specialist/Technologist | 1500 Oglethorpe Ave, Suite 500b, Athens, GA 30606-2179 | 2006-06-26 |
| 1407819774 | Kenneth Lee Wells | Physical Therapist | 865 W Lake Dr, Dba Edwin H. Martinat Rehabilitation Center, Mount Airy, NC 27030-2157 | 2006-04-08 |
| Street Address |
286 EUCLID AVE SUITE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615749 | Taheerah Aneesah Armour | Case Manager/Care Coordinator | 286 Euclid Ave, San Diego, CA 92114-3610 | 2019-05-22 |
| 1144720426 | Sara Focht | Counselor | 286 Euclid Ave, San Diego, CA 92114-3610 | 2018-02-13 |
| 1669903639 | Michelle Caraballo | Counselor | 286 Euclid Ave, #102, San Diego, CA 92114-3610 | 2017-03-22 |
| 1861936916 | Edith Bonilla | Student in an Organized Health Care Education/Training Program | 286 Euclid Ave, San Diego, CA 92114-3610 | 2016-12-08 |
| 1023550365 | Brittany P Foster | Case Manager/Care Coordinator | 286 Euclid Ave, San Diego, CA 92114-3610 | 2016-11-16 |
| 1134677925 | Susan Conrad | Registered Nurse | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3610 | 2016-09-21 |
| 1982152468 | Nergis Akkaya | Student in an Organized Health Care Education/Training Program | 286 Euclid Ave, #102, San Diego, CA 92114-3611 | 2016-09-14 |
| 1861841892 | Angeles Gaerlan | Registered Nurse | 286 Euclid Ave, Suite 102, San Diego, CA 92114-3610 | 2016-06-09 |
| 1033583455 | Enrique Mereles | Counselor | 286 Euclid Ave, San Diego, CA 92114 | 2015-11-23 |
| 1104298769 | Zeaunia Green | Rehabilitation Counselor | 286 Euclid Ave, #102, San Diego, CA 92114-3610 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346482445 | Joseph Anthony Averna | Podiatrist | 3500 - 5th Ave, Ste 106, San Diego, CA 92103 | 2009-04-03 |
| 1831251024 | Robert J. Vallone, D.p.m., Inc. | Podiatrist | 3363 4th Ave, San Diego, CA 92103-5703 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017438 | Karen Romines Podiatry Incorporated | Podiatrist | 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 | 2020-03-03 |
| 1033759709 | Igal Palma | Podiatrist | 2987 Grant St, Concord, CA 94520-4640 | 2020-01-10 |
| 1376013730 | Fatah Paramole Dpm LLC | Podiatrist | 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 | 2018-11-28 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1669988655 | Happy Feet Podiatry P.C. | Podiatrist | 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 | 2017-12-28 |
| 1023549987 | Carl Christenson, Dpm | Podiatrist | 7687 N 9th St, Fresno, CA 93720-2629 | 2017-03-22 |
| 1598203788 | Bermar Group Inc | Podiatrist | 7952 Genesta Ave, Lake Balboa, CA 91406-1624 | 2017-02-07 |
| 1063871234 | Gregory W Herb | Podiatrist | 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 | 2016-02-17 |
| 1053791509 | Grandy Podiatry Group | Podiatrist | 730 46th St, Sacramento, CA 95819-3149 | 2015-05-30 |
| 1801201389 | Alycia Chen | Podiatrist | 305 South Dr Ste 6, Mountain View, CA 94040-4207 | 2014-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.