AUDREY WAGDY
NPI 1366225906
Physician Assistant - Medical in Ontario, CA

Q: What is Audrey Wagdy's NPI number?

The NPI number for Audrey Wagdy is 1366225906. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Audrey Wagdy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Wagdy was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment

1151 E WALNUT ST, ONTARIO, CA 91761(909) 467-1425(909) 773-0920 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2024, Aug 16, 2023 (2 updates tracked since 2023).

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About Audrey Wagdy NPPES

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

AUDREY WAGDY (NPI 1366225906) is an individual medical provider in Ontario, California and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).

NPPES Registry Identity

NPI1366225906

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAUDREY WAGDY

Location Address1151 E WALNUT STOntario, CA 91761-6155

Mailing Address1151 E Walnut StOntario, CA 91761-6155 · (909) 467-1425 · Fax (909) 773-0920

Phone(909) 467-1425

Fax(909) 773-0920

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023

Enumeration DateAugust 16, 2023

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1366225906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X

1151 E WALNUT ST, Ontario, CA 91761

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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

Audrey Wagdy 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 ID3476996281

PECOS Enrollment IDI20240208002946

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.

Other Providers at the Same Location NPPES 11

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

MARIALUISA GARCIA MSN, FNP

Nurse Practitioner (Family)