Wendy Marie Richardson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

20225 Issued in CA

Practice address

13011 Gate Dr
Poway, CA 92064-5841

Phone

(530) 828-6794

NPI assigned

Mar 9, 2009

Last updated

Sep 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Marie Stafford Former name

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Last Frontier Healthcare DistrictGroup PAC ID 2466447412, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Modoc Medical Center Hospital, Alturas, CA, CCN 051330
• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment Care Compare group NPD
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064
  NPD (past)

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

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1508007238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 GATE DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645841",
            "telephone_number": "530-828-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 GATE DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645841",
            "telephone_number": "530-828-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "STAFFORD",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ava Reynolds
• Florianne Reynoso, C-HEALTHCOACH
• Shirin Reza Soltani
• Rafik Riad, DDS
• Sonia Ricca
• Angel S Rico
• Craig Rinehart
• Rishu Gupta MD Inc (SD Skin)
• Victoria Risovanny, L.AC.
• Neriyah Simchah Ritblatt, LMFT

• Physician Assistant in Poway, CA
• Providers in Poway, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; 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.