Wensley M Keith MD PC
NPI 1174357768ActiveOrganization· General Practice· Newport Beach, CA
General Practice in Newport Beach, California, registered in NPPES in August 2024. The authorized official on file is Tammy Knickerbocker, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174357768 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2024 |
| Last updated in NPPES | May 28, 2025 |
| Certified by provider | May 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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