Wollelaw W Agmas, M.D

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A182144 Issued in CA

Practice address

8263 Grove Ave Ste 201
Rancho Cucamonga, CA 91730-3107

Phone

(909) 579-0708

Fax

(909) 579-0778

NPI assigned

Jun 19, 2014

Last updated

May 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

64.78

Improvement activities

40

Cost

79.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wollelaw.agmas.1@26356.direct.athenahealth.com

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

• AIDS Healthcare Foundation

  dba Ahf

  • Infectious Disease Physician
  • San Francisco, CA
  • NPI 1467078063
  Medicare reassignment Care Compare group NPD
• AIDS Healthcare Foundation

  dba Ahf

  • Clinic/Center
  • Long Beach, CA
  • NPI 1023448800
  NPD
• AIDS Healthcare Foundation

  dba AHF Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1891525184
  NPD
• AIDS Healthcare Foundation

  dba Ahf

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1427218874
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1174937825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE STE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-579-0708",
            "fax_number": "909-579-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGMAS",
        "first_name": "WOLLELAW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A182144",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A182144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Home and Care Inc
• Julia Agape, MA
• Chandrahas Agarwal, M.D.
• Priya Agarwal
• Ageless Men's Health Ca, PC (Ageless Men's Health)
• Janet M. Agosti, M.S.W., L.C.S.W.
• Aaron Aguayo
• Christopher Aguayo
• Jacqueline Aguayo
• Kimberly Aguayo

• Public Health & General Preventive Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.