Jason Satria Wiguna, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A19069 Issued in CA

Practice address

12601 Garden Grove Blvd
Garden Grove, CA 92843-1908

Phone

(714) 537-5160

NPI assigned

May 21, 2018

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Medical Group,IncGroup PAC ID 4385883958, 54 clinicians

Health Lync Medical Group IncGroup PAC ID 4587109913, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Apex Home Health Care Services Home health agency, Santa Ana, CA, CCN 058341
• Media Home Health Home health agency, Glendale, CA, CCN 058458
• Paramount Home Care Home health agency, Stanton, CA, CCN 057456
• Parentis Home Health Home health agency, Laguna Hills, CA, CCN 059760
• Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
• Hadassa Hospice Hospice, Artesia, CA, CCN B41608
• Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526
• West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Kindred Hospital Westminster Long-term care hospital, Westminster, CA, CCN 052035
• The Grove Post Acute Nursing home, Garden Grove, CA, CCN 555021
• French Park Care Center Nursing home, Santa Ana, CA, CCN 555103
• Sea Cliff Healthcare Center Nursing home, Huntington Beach, CA, CCN 555249
• Garden Park Care Center Nursing home, Garden Grove, CA, CCN 555667
• Huntington Valley Healthcare Center Nursing home, Huntington Beach, CA, CCN 055888

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

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.

• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689
  Medicare reassignment Care Compare group NPD
• Health Lync Medical Group, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1538908967
  Medicare reassignment Care Compare group NPD
• Derderyan Medical Group Inc.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1457712309
  Medicare reassignment NPD
• Excell Integrated Medical Group Inc

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1659909521
  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartlett Care Center, LLC

  • Skilled Nursing Facility
  • Santa Ana, CA
  • NPI 1245323088

  Nursing home

  Care Compare affiliation
• Douglas Fir Holdings, LLC

  • Skilled Nursing Facility
  • Huntington Beach, CA
  • NPI 1821027632

  Nursing home

  Care Compare affiliation
• Garden Grove Post Acute LLC

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1750016259

  Nursing home

  Care Compare affiliation
• Garden Park Care Center LLC

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1477659399

  Nursing home

  Care Compare affiliation
• HB Healthcare Associates LLC

  • Skilled Nursing Facility
  • Huntington Beach, CA
  • NPI 1154316933

  Nursing home

  Care Compare affiliation
• Olive Branch Hospice Inc.

  • Community Based Hospice Care Agency
  • Artesia, CA
  • NPI 1467992503
  Care Compare affiliation
• Omnicare Home Health Inc.

  • Home Health Agency
  • Torrance, CA
  • NPI 1760724231
  Care Compare affiliation
• Paramount Home Care, Inc.

  • Home Health Agency
  • Stanton, CA
  • NPI 1881773430
  Care Compare affiliation
• Parentis Home Health Care, Inc.

  • Home Health Agency
  • Laguna Hills, CA
  • NPI 1740699180
  Care Compare affiliation
• Pinnacle Health Corporation

  • Home Health Agency
  • Anaheim, CA
  • NPI 1669524831
  Care Compare affiliation
• Prime Healthcare Anaheim, LLC

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1871501916
  Care Compare affiliation
• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1346731767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 ROSEMARY LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354328",
            "telephone_number": "562-508-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431908",
            "telephone_number": "714-537-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGUNA",
        "first_name": "JASON",
        "middle_name": "SATRIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Westmoreland, MS, BCBA
• Sean R Westrick
• Lucretia White
• Sarah M Whiteside
• Shelby Taylor Whitney
• Zoe Wilcoxson
• Shawn Elizabeth Wild
• Mikhayla Desiree Wilkins
• Camille Ashley Wilkinson
• Konita Lee Wilks, D.D.S.

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.