MICHAEL H WELLER (NPI# 1518949049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518949049 |
| Entity Type | Individual |
| Full Name | MICHAEL H WELLER |
| Credential | MD |
| Practice Address |
2801 Atlantic Ave Long Beach CA 90806 |
| Mailing Address |
3 Flying Mane Rd Rolling Hills CA 90274-5238 |
| Practice Telephone | 5629331550 |
| Mailing Telephone | 3105417871 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
G12497 | CA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G12497 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 00G124970 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1992146740 | Michael Jerome Weller | Nurse Practitioner | 4725 E Galbraith Rd, Suite 320, Cincinnati, OH 45236-2725 | 2013-07-09 |
| 1154616183 | Michael Andrew Weller | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2011-06-17 |
| 1437364270 | Michael Sean Weller | Specialist/Technologist | 1870 Quaker Way, Wilmington College, Wilmington, OH 45177 | 2007-05-14 |
| Street Address |
2801 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912054 | Richard Eric Swensson | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1737 | 2005-06-16 |
| 1407453152 | Chih-yin Cheng | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-10-06 |
| 1386251270 | Veronica Camarero | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-25 |
| 1942816087 | Carol Lerma | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-23 |
| 1962017327 | Kellie Leann Padilla | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-12 |
| 1518571850 | Jeannine Meyer | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-03 |
| 1376154138 | Katelyn Kriegel | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-13 |
| 1689284309 | Jasmin Sidhu, Md Inc | Hospitalist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-06 |
| 1245853068 | Blanca Guadalupe Lansang | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-27 |
| 1164044376 | Megan Dongsun Won | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144204231 | Son C Nguyen | Radiology | 2801 Atlantic Blvd, Long Beach Memorial M Ctr, Long Beach, CA 90806 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702262 | Nicole Hughes | Radiology | 1975 4th St Rm C-1758l, San Francisco, CA 94158-2351 | 2015-10-16 |
| 1841633468 | Katherine Elizabeth Barton | Radiology | 4860 Y Street, Suite 3100, Sacramento, CA 95817-2309 | 2013-04-12 |
| 1609190578 | Brian Stewart Pugmire | Radiology | 1504 N Wishon Ave, Fresno, CA 93728-1827 | 2010-03-22 |
| 1427210160 | Juan C. Baez | Radiology | 11234 Anderson St Ste Mc-b623a, Loma Linda, CA 92354-2804 | 2008-06-25 |
| 1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1740489350 | Michael Frederick Fadell II | Radiology | 725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 | 2007-07-13 |
| 1649495029 | Alexander Anthony Cacciarelli | Radiology | 2198 Ladycliff Cir, Thousand Oaks, CA 91360-1978 | 2007-04-13 |
| 1376698548 | Aegis Pediatric Imaging Medical Group | Radiology | 116 W Lime Ave, Monrovia, CA 91016-2841 | 2007-01-25 |
| 1386738870 | Cornelia Kaminsky | Radiology | 6430 Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1467472621 | Lane Frances Donnelly | Radiology | 300 Pasteur Dr # H1307, Stanford, CA 94305-2200 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.