Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

K. Wensley Michael MD, PC

Organization General Practice Physician · NPI 1245069277

K. Wensley Michael MD, PC is a General Practice Physician in Newport Beach, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1601 Dove St Ste 170
Newport Beach, CA 92660-1421
Phone: (949) 674-9081
Fax: (209) 203-1036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1245069277
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichael Keith Wensley MD Inc a Medical Corporation
Authorized official Tammy Knickerbocker — Manager · (949) 467-9081
NPI enumeratedJuly 29, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address1601 Dove St Ste 170, Newport Beach, CA 92660-1421

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