Wills Ngamfon, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

22730 Issued in CA

Practice address

1131 W 6TH St Ste 230
Ontario, CA 91762-1113

Phone

(833) 362-7837

Fax

(714) 805-8923

NPI assigned

Dec 11, 2012

Last updated

May 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Masters Medical Group IncGroup PAC ID 8224307053, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Wound Masters Medical Group Inc

  dba Wound Masters

  • Surgery Physician
  • Ontario, CA
  • NPI 1376063461
  Medicare reassignment Care Compare group Authorized official
• Wound Masters Mobile Physicians, PC

  dba Wound Masters Arizona

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1063094183
  NPD Authorized official

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1205171659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "661-383-7136",
            "fax_number": "818-356-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST STE 230",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621113",
            "telephone_number": "833-362-7837",
            "fax_number": "714-805-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAMFON",
        "first_name": "WILLS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "22730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Venture Corp (Cardinal Home Health Care)
• Mykael Angelique Newell
• Jazmine Newman
• Joel NG Yi Sheng
• Jamie NG, PA
• Drew Ngo
• NGS Prime Inc
• Alan Le Trung Hieu Nguyen
• Angela Nguyen, LCSW
• Anthony Quang-Ha Nguyen, D.D.S

• Surgical Physician Assistant in Ontario, CA
• Providers in Ontario, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.