DISPATCHHEALTH-CA, PC
NPI 1639752553
Emergency Medicine in Tustin, CA
About Dispatchhealth-ca, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DISPATCHHEALTH-CA, PC (NPI 1639752553), doing business as Andrew Wagner Md Pc, is a healthcare organization registered as an emergency medicine in Tustin, California and active in the NPI registry since April 2021. The organization holds an CLIA Accreditation certificate valid through January 23, 2027, maintains 4 additional practice locations, and lists William Kramer, Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dispatchhealth-ca, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Dispatchhealth-Ca, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 78Rancho Mirage, CA 92270
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 05D2246386
Dispatchhealth-Ca, PC · Tustin, CAFrequently 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 Dispatchhealth-Ca, PC's NPI number?
The NPI number for Dispatchhealth-Ca, PC is 1639752553. It was assigned to this organization in the NPPES registry on April 29, 2021. The provider was formerly known as Andrew Wagner MD PC.
Where is Dispatchhealth-Ca, PC located?
Dispatchhealth-Ca, PC is located at 140 Centennial Way, Tustin, CA 92780. The listed phone number is (303) 904-7240.
What is Dispatchhealth-Ca, PC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Dispatchhealth-Ca, PC enrolled in Medicare?
Yes. Dispatchhealth-Ca, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dispatchhealth-Ca, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 4 Medicare specialties reassign their Medicare billing to Dispatchhealth-Ca, PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (63), Emergency Medicine (13) and Critical Care (Intensivists) (1). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dispatchhealth-Ca, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 05D2246386) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dispatchhealth-Ca, PC accept?
Health plans from UnitedHealthcare list Dispatchhealth-Ca, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dispatchhealth-Ca, PC was last updated on July 15, 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.
# Dispatchhealth-Ca, Pc · NPI 1639752553
Emergency Medicine organization in Tustin, California. Organization record, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1639752553 (Entity type: Organization)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Also known as:** ANDREW WAGNER MD PC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** William Kramer, AO
## Practice location
- **Address:** 140 CENTENNIAL WAY, Tustin, CA 92780-3711
- **Phone:** (303) 904-7240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (63), Emergency Medicine (13), Critical Care (Intensivists) (1); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1639752553/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639752553) · Data from the CMS NPPES public registry.