Active NPI
Gina L. Wilvang, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Artesia, CA
National Provider Identifier
1407986995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E4393
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 62.38
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 78 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 755 |
| Removal or shaving of skin growth | 654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn T. Van Enoo, D.P.M. a Professional Medical Corporation | Past | Accepting new patients | |
| Maijala Podiatry Corporation | Past | Accepting new patients | |
| Orange County Foot & Ankle Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBGCDD
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Fullerton, CA
- NPI 1639102833
-
- Podiatrist
- Anaheim, CA
- NPI 1891570503
-
- Foot & Ankle Surgery Podiatrist
- Tustin, CA
- NPI 1396929774
-
- Podiatrist
- Cerritos, CA
- NPI 1740512235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.