Individual provider Active NPI

Wendy Medina, M.D.

  • Obstetrics & Gynecology Physician
  • Torrance, CA
National Provider Identifier
1790169639
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A147640 Issued in CA
Practice address
20911 Earl St Ste 440
Torrance, CA 90503-4355
Phone
(310) 419-8585
NPI assigned
Jul 9, 2015
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A147640 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 440
Torrance, CA 90503-4355

Mailing address

20911 Earl St Ste 440
Torrance, CA 90503-4355
Phone (310) 419-8585

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wmedina1192312@oc.providencedirect.org
Direct Messaging Address wmedina1192312@oc.providencedirect.org

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
I20210115000984 CA Practitioner - Obstetrics/Gynecology 0648608158 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147640CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Magella Medical Group, Inc. Single Specialty CurrentSince Apr 9, 2022 Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Interoperability endpoints

  • Direct secure messaging: wmedina584298@direct.llu.edu

Organizations & group practices 2

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1790169639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-419-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-419-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "WENDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A147640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmedina1192312@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "20911 Earl St Ste 440",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905034355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmedina1192312@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "621 S Butte St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907323510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.