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

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: October 18, 2026.

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
Open in Google Maps ↗

Other Names 1

Professional Name (2)Wilfredo Jose Rios Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Wilfredo Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Johns Community Health
2.8 mi
Community Health
1111 E ARTESIA BLVD
Compton, CA 90221
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1821565771 (323) 541-1600
Via Care Community Health Center
12 mi
Federally Qualified Health Center (FQHC)
607 S ATLANTIC BLVD
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1770034530 (323) 268-9191

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 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.

Other Providers at the Same Location NPPES 12

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

GOURI PILLAI MD
Pediatrics
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177
MS. GAIL GABOUREL MSPA-C
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 327-1357
KATELYN HOPE ANDERSON KLEIN
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 392-8636
DR. KARISA THAYER M.D.
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 327-1357
KELSEY BREIG
Nurse Practitioner (Family)
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 327-1357
LORNA OCAMPO-TATEL NP
Nurse Practitioner
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 392-8636
JUDITH PIETERSZ NP
Nurse Practitioner
742 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (310) 802-6177

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 Wilfredo Rios's NPI number?

The NPI number for Wilfredo Rios is 1700340403. It was assigned to this individual provider in the NPPES registry on January 27, 2019. The provider is also known as Wilfredo Jose Rios Fnp.

Where is Wilfredo Rios located?

Wilfredo Rios practices at 742 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (310) 392-8636.

What is Wilfredo Rios's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wilfredo Rios enrolled in Medicare?

Yes. Wilfredo Rios is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wilfredo Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilfredo Rios reassigns Medicare benefits to 2 organizations: St. Johns Community Health (Compton, CA) and Via Care Community Health Center (Los Angeles, CA). Each 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 Wilfredo Rios'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 Wilfredo Rios was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.