DR. WOLLELAW W AGMAS M.D
NPI 1174937825
Preventive Medicine - Public Health & General Preventive Medicine in Rancho Cucamonga, CA

Q: What is Wollelaw Agmas's NPI number?

The NPI number for Wollelaw Agmas is 1174937825. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Q: What is Wollelaw Agmas's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Wollelaw Agmas was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment

8263 GROVE AVE STE 201, RANCHO CUCAMONGA, CA 91730(909) 579-0708(909) 579-0778 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Apr 30, 2024, Jul 10, 2023 and 1 more (4 updates tracked since 2018).

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About Dr. Wollelaw W Agmas M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WOLLELAW W AGMAS M.D (NPI 1174937825) is an individual public health & general preventive medicine provider in Rancho Cucamonga, California, licensed in California (A182144) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1174937825

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameDR. WOLLELAW W AGMASCredential: M.D

Location Address8263 GROVE AVE STE 201Rancho Cucamonga, CA 91730-3107

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422

Phone(909) 579-0708

Fax(909) 579-0778

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 19, 2014

Last NPPES UpdateMay 6, 20244 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1174937825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in CA · A182144

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License A182144 (CA)

8263 GROVE AVE STE 201, Rancho Cucamonga, CA 91730

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wollelaw W Agmas M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870965379

PECOS Enrollment IDI20230209002170

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

108 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

81 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA P. SALAS FNP BC

Nurse Practitioner (Family)