Individual provider Active NPI

Gina L. Wilvang, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Artesia, CA
National Provider Identifier
1407986995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E4393 Issued in CA
Practice address
18300 Gridley Rd
Suite 203
Artesia, CA 90701-5440
Phone
(562) 402-2489
Fax
(562) 809-7219
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E4393 CA Primary

Addresses

Primary practice location

18300 Gridley Rd
Suite 203
Artesia, CA 90701-5440

Mailing address

PO Box 111
Artesia, CA 90702-0111
Phone (562) 402-2489

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000084 CA Practitioner - Podiatry 5890829840 Reassigns benefits to 1 organization
Practice locations: Cerritos, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Foot and Ankle Group IncGroup PAC ID 1658346978, 4 clinicians

Practice addresses (Care Compare)

300 N Euclid St
Suite a
Fullerton, CA 92832-1623
Phone (714) 888-6860

300 N Euclid St a
Fullerton, CA 92832-1623

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
62.38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions1-10
Removal of nail tissue755
Removal or shaving of skin growth654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn T. Van Enoo, D.P.M. a Professional Medical Corporation PastSince Jun 1, 2010 Accepting new patients
Maijala Podiatry Corporation PastSince Oct 1, 2023 Accepting new patients
Orange County Foot & Ankle Group, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGCDD
  • Direct secure messaging: gwilvang@ocfa.mdlogic.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407986995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020111",
            "telephone_number": "562-402-2489",
            "fax_number": "562-809-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 GRIDLEY RD",
            "address_2": "SUITE 203",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015440",
            "telephone_number": "562-402-2489",
            "fax_number": "562-809-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILVANG",
        "first_name": "GINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

Verify at the official NPI Registry.