Winona Lili Wiland, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60745 Issued in CA

Practice address

5405 Oberlin Dr FL 2
San Diego, CA 92121-1700

Phone

(858) 909-0770

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ritvik Mehta MD ApcGroup PAC ID 8022163286, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ritvik Mehta, MD Apc

  • Otolaryngology Physician
  • Carlsbad, CA
  • NPI 1538302997
  Medicare reassignment Care Compare group
• Carlos F Jimenez, MD

  • Otolaryngology Physician
  • Chula Vista, CA
  • NPI 1104914696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1043967383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 VICTORIA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913962",
            "telephone_number": "310-913-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OBERLIN DR FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211700",
            "telephone_number": "858-909-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILAND",
        "first_name": "WINONA",
        "middle_name": "LILI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pushpanjalie Wijeratne, MD
• Leslie Robin Wikholm, PTA
• Matthew Allen Wikler, M.D.
• Anne M. Wiklund, LCSW
• Denise Ann Wiksten, PHD, ATC
• Whitney Wilbanks, OTD, OTR/L
• Matthew B Wilbat, M.A., B.C.B.A
• Nathaniel H. Wilberg, B.A.
• Diane Wilbers, OTR/L
• Lori Leigh Wilborn

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.