WILFREDO RIOS
NPI 1700340403
Nurse Practitioner - Family in Gardena, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since January 27, 2019PECOS Enrolled

742 W GARDENA BLVD, GARDENA, CA 90247(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Wilfredo Rios NPPES

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

WILFREDO RIOS (NPI 1700340403) is an individual family provider in Gardena, California, licensed in California (95010804) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700340403

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameWILFREDO RIOS

Location Address742 W GARDENA BLVDGardena, CA 90247-5024

Mailing Address742 W Gardena BlvdGardena, CA 90247-5024 · (310) 392-8636

Phone(310) 392-8636

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 27, 2019

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1700340403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95010804

742 W GARDENA BLVD, Gardena, CA 90247

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Other Names 1

Professional Name (2)Wilfredo Jose Rios Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilfredo Rios is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799018818

PECOS Enrollment IDI20190605000597

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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