EVELYN WANGSA
NPI 1407303753
Nurse Practitioner - Primary Care in San Gabriel, CA
About Evelyn Wangsa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN WANGSA (NPI 1407303753) is an individual primary care provider in San Gabriel, California, licensed in California (95004913) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evelyn Wangsa 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.
Medicare Billing Reassignment
Medicare enrollment records show Evelyn Wangsa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90807
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Evelyn Wangsa's NPI number?
The NPI number for Evelyn Wangsa is 1407303753. It was assigned to this individual provider in the NPPES registry on September 3, 2016.
Where is Evelyn Wangsa located?
Evelyn Wangsa practices at 161 W Fairview Ave, San Gabriel, CA 91776. The listed phone number is (562) 293-8777.
What is Evelyn Wangsa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Evelyn Wangsa enrolled in Medicare?
Yes. Evelyn Wangsa 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.
Which organization bills Medicare for Evelyn Wangsa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Wangsa reassigns Medicare benefits to Wound Saviors Advanced Medical Group Inc (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evelyn Wangsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Evelyn Wangsa was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Evelyn Wangsa · NPI 1407303753
Primary Care physician in San Gabriel, California. Individual provider, active in the CMS NPPES registry since September 3, 2016.
## Identity
- **NPI:** 1407303753 (Entity type: Individual)
- **Enumerated:** September 3, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95004913 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 161 W FAIRVIEW AVE, San Gabriel, CA 91776-2959
- **Phone:** (562) 293-8777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wound Saviors Advanced Medical Group Inc (NPI 1013809854, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407303753) · Data from the CMS NPPES public registry.