Individual provider Active NPI

Ayal Willner, MD

  • Otolaryngology Physician
  • Long Beach, CA
National Provider Identifier
1548334295
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G80193 Issued in CA
Practice address
433 E Wardlow Rd
Long Beach, CA 90807-4507
Phone
(562) 427-0550
Fax
(562) 988-8899
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G80193 CA Primary

Addresses

Primary practice location

433 E Wardlow Rd
Long Beach, CA 90807-4507

Mailing address

433 E Wardlow Rd
Long Beach, CA 90807-4507
Phone (562) 427-0550

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
I20120109000399 CA Practitioner - Otolaryngology 3375642002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Yoshpe and Willner MDS a Ca General PartnershipGroup PAC ID 4981703667, 3 clinicians

Practice addresses (Care Compare)

433 E Wardlow Rd
Long Beach, CA 90807-4507
Phone (562) 427-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yoshpe & Willner MDS a Ca General Partnership Otolaryngology CurrentSince Nov 1, 2000 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

7677 Center Ave
Ste 202
Huntington Beach, CA 92647
Phone (714) 895-9355

2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096

433 E Wardlow Rd
Long Beach, CA 90807
Phone (562) 427-0550

10861 Cherry St
Ste 303
Los Alamitos, CA 90720
Phone (949) 631-4327

10861 Cherry St
Los Alamitos, CA 90720
Phone (562) 431-3535

400 Newport Center Dr
Ste 300
Newport Beach, CA 92660
Phone (949) 644-1240

400 Newport Center Dr
Ste 302
Newport Beach, CA 92660
Phone (949) 644-1240

2601 Airport Dr
Ste 210
Torrance, CA 90505
Phone (310) 784-0810

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: awillnermd16253@direct.memorialcare.org

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.

Hospital & facility affiliations 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1548334295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074507",
            "telephone_number": "562-427-0550",
            "fax_number": "562-988-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074507",
            "telephone_number": "562-427-0550",
            "fax_number": "562-988-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLNER",
        "first_name": "AYAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G80193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.