Individual provider Active NPI

Peter Wilton

  • Orthopaedic Hand Surgery Physician
  • Chino Hills, CA
National Provider Identifier
1508286089
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A137884 Issued in CA
Practice address
15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842
Phone
(909) 557-1668
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A137884 CA Primary

Addresses

Primary practice location

15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842

Mailing address

15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842
Phone (909) 557-1668

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727000889 CA Practitioner - Orthopedic Surgery 4587907761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Medical Orthopaedic Group IncGroup PAC ID 9335045228, 92 clinicians

Practice addresses (Care Compare)

8805 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-5157
Phone (909) 912-1750

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137884CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery Past Accepting new patients
Dignity Health Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

835 Highland Springs Ave
Ste 210
Beaumont, CA 92223
Phone (626) 493-6348

15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668

15325 Fairfield Ranch Rd
Ste 105
Chino Hills, CA 91709

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8805 Haven Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 912-1725

8805 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

8805 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500

4500 Brockton Ave
Ste 306
Riverside, CA 92501
Phone (951) 275-9000

2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1508286089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 FAIRFIELD RANCH RD STE 150",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098842",
            "telephone_number": "909-557-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 FAIRFIELD RANCH RD STE 150",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098842",
            "telephone_number": "909-557-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTON",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A137884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.