Individual provider Active NPI

Ryan Paul Wingco, PA-C

  • Medical Physician Assistant
  • Long Beach, CA
National Provider Identifier
1639543853
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA52941 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach Memorial Med Ctr Attn: Emergency Department
Long Beach, CA 90806-1701
Phone
(562) 933-1411
NPI assigned
Nov 26, 2015
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA52941 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach Memorial Med Ctr Attn: Emergency Department
Long Beach, CA 90806-1701

Mailing address

26895 Aliso Creek Rd # B-311
Aliso Viejo, CA 92656-5301

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002869 CA Practitioner - Physician Assistant 4587966593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1401 N Tustin Ave
Suite 150
Santa Ana, CA 92705-8674
Phone (714) 978-4278

2001 E 4TH St
Suite 104
Santa Ana, CA 92705-3916
Phone (657) 230-7800

23653 El Toro Rd
Suite B
Lake Forest, CA 92630-8614
Phone (949) 317-0312

26012 Marguerite Pkwy
Suite H
Mission Viejo, CA 92692-3263
Phone (619) 732-4168

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758
Phone (949) 297-3888

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
87.09
Improvement activities
40
Cost
78.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52941CAMDDentist
PA52941CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince Jul 1, 2023 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

801 S Brookhurst St
Anaheim, CA 92804
Phone (714) 683-0644

26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502

7923 Garden Grove Blvd
Garden Grove, CA 92841
Phone (714) 799-5858

6502 Bolsa Ave
Ste 105
Huntington Beach, CA 92647
Phone (714) 373-2400

8101 Newman Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 545-5200

23653 El Toro Rd
Ste B
Lake Forest, CA 92630
Phone (714) 847-3030

26012 Marguerite Pkwy
Ste H
Mission Viejo, CA 92692
Phone (619) 732-4168

4720 E Chapman Ave
Orange, CA 92869
Phone (714) 771-7600

610 E Katella Ave
Orange, CA 92867
Phone (714) 694-2001

1401 N Tustin Ave
Ste 150
Santa Ana, CA 92705
Phone (714) 978-4278

2001 E 4th St
Ste 104
Santa Ana, CA 92705
Phone (657) 201-8018

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1639543853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD # B-311",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "address_2": "LONG BEACH MEMORIAL MED CTR ATTN: EMERGENCY DEPARTMENT",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGCO",
        "first_name": "RYAN PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-26",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA52941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.