NPIMap

Individual provider Active NPI

Walker A Wynkoop, M.D.

  • Orthopaedic Surgery Physician
  • Los Banos, CA
National Provider Identifier
1760580427
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
87898 Issued in CA
Practice address
807 Illinois Ave
Los Banos, CA 93635-3512
Phone
(209) 710-8695
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 87898 CA Primary

Addresses

Primary practice location

807 Illinois Ave
Los Banos, CA 93635-3512

Mailing address

807 Illinois Ave
Los Banos, CA 93635-3512
Phone (209) 710-8695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100610000524 WA Practitioner - Orthopedic Surgery 1355231424 Reassigns benefits to 1 organization
I20200413002871 CA Practitioner - Orthopedic Surgery 1355231424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Affiliates of CaliforniaGroup PAC ID 3375782667, 12 clinicians

Practice addresses (Care Compare)

520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591

807 Illinois Ave
Los Banos, CA 93635-3512
Phone (209) 710-8542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Affiliates of California CurrentSince Dec 1, 2019 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Sep 1, 2021 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Dec 1, 2019 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Avera McKennan Past Accepting new patients
Sanford Medical Center Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Altru Health System Past Accepting new patients
Sanford Bismarck Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: wwynkoop543013@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1760580427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ILLINOIS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353512",
            "telephone_number": "209-710-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 ILLINOIS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353512",
            "telephone_number": "209-710-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNKOOP",
        "first_name": "WALKER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "87898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.