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WILLS NGAMFON PA
NPI 1205171659
Physician Assistant - Surgical in Ontario, CA

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
1131 W 6TH ST STE 230, ONTARIO, CA 91762(833) 362-7837(714) 805-8923 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 14, 2025, Nov 21, 2022, Jun 15, 2020 and 4 more (7 updates tracked since 2017).

About Wills Ngamfon Pa NPPES

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

WILLS NGAMFON PA (NPI 1205171659) is an individual surgical provider in Ontario, California, licensed in California (22730) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205171659
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLS NGAMFONCredential: PA
Location Address1131 W 6TH ST STE 230Ontario, CA 91762-1113
Mailing Address25044 Peachland Ave Ste 110Newhall, CA 91321-5730 · (661) 383-7136 · Fax (818) 356-4380
Phone(833) 362-7837
Fax(714) 805-8923
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 11, 2012
Last NPPES UpdateMay 14, 20257 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1205171659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 22730
1131 W 6TH ST STE 230, Ontario, CA 91762
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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

Wills Ngamfon Pa 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 ID6507009925
PECOS Enrollment IDI20130903000649
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers28 claims2,920 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers96 claims10,432 services$0.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
3 suppliers156 claims4,148 services$29.82 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims220 services$20.18 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers41 claims1,263 services$7.05 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
3 suppliers36 claims998 services$15.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GOLDEN SEAL HOME HEALTH
Home Health
1131 W 6TH ST STE 230
ONTARIO, CA 91762
San Bernardino County (909) 757-2140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wills Ngamfon's NPI number?

The NPI number for Wills Ngamfon is 1205171659. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Wills Ngamfon located?

Wills Ngamfon practices at 1131 W 6th St Ste 230, Ontario, CA 91762. The listed phone number is (833) 362-7837.

What is Wills Ngamfon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Wills Ngamfon enrolled in Medicare?

Yes. Wills Ngamfon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wills Ngamfon was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.