DR. FERNALD WILLIAM WENTZELL (NPI# 1598030025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598030025 |
| Entity Type | Individual |
| Full Name | DR. FERNALD WILLIAM WENTZELL |
| Credential | M.D. |
| Practice Address |
5407 Linea Del Cielo Rancho Santa Fe CA 92067 |
| Mailing Address |
5407 Linea Del Cielo Po Box 397 Rancho Santa Fe CA 92067 |
| Practice Telephone | 8587564084 |
| Practice Fax Number | 8587561246 |
| Mailing Telephone | 8587564084 |
| Mailing Fax Number | 8587561246 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C36925 | CA | Other Service Providers |
| Street Address |
5407 LINEA DEL CIELO |
| City | RANCHO SANTA FE, |
| State | CA |
| Zip Code | 92067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979377 | Taylor Duncan | Chiropractor | 18025 Calle Ambiente Suite 204, Rancho Santa Fe, CA 92067 | 2017-08-23 |
| 1831628692 | Del Sur Pharmacy | Pharmacy | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2017-06-06 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1164869962 | Gary Lee Nobbel | Plastic Surgery | 5002 Linea Del Cielo, Rancho Santa Fe, CA 92067 | 2013-06-03 |
| 1104187137 | Leslie Buncher | Obstetrics & Gynecology | 6225 San Elijo, Rancho Santa Fe, CA 92067 | 2012-06-06 |
| 1316213440 | Ahmad Mehran | Obstetrics & Gynecology | 16818 Circa Del Norte, Rancho Santa Fe, CA 92067 | 2012-03-22 |
| 1013211754 | Deborah Leah Goodman | Preventive Medicine | 5725 Loma Verde Drive, Rancho Santa Fe, CA 92067 | 2011-01-10 |
| 1972736445 | Herbert Nathaniel Weissman | Psychologist | 6896 Farms View Court, Rancho Santa Fe, CA 92067 | 2009-08-31 |
| 1740416874 | Daniele Andree Vecchio | Pediatrics | 5621 Lago Lindo, Rancho Sant Fe, CA 92067 | 2009-06-03 |
| Find all providers in zip 92067 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO SANTA FE, |
| Zip Code | 92067 |
Please comment or provide details below to improve the information on DR. FERNALD WILLIAM WENTZELL.
| 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.