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ALEXA BREANNA WYNGLARZ SLP-CCC
NPI 1750189684
Speech-Language Pathologist in Buena Park, CA

Active since March 05, 2025Accepts Medicare Assignment
5810 LOS ALAMOS ST, BUENA PARK, CA 90620(714) 553-5585 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Apr 9, 2025, Mar 5, 2025 (3 updates tracked since 2025).

About Alexa Breanna Wynglarz Slp-ccc NPPES

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

ALEXA BREANNA WYNGLARZ SLP-CCC (NPI 1750189684) is an individual speech-language pathologist provider in Buena Park, California, licensed in California (35787) and active in the NPI registry since March 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1750189684
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALEXA BREANNA WYNGLARZCredential: SLP-CCC
Location Address5810 LOS ALAMOS STBuena Park, CA 90620-2704
Mailing Address5810 Los Alamos StBuena Park, CA 90620-2704 · (714) 553-5585
Phone(714) 553-5585
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 5, 2025
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1750189684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 35787
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5810 LOS ALAMOS ST, Buena Park, CA 90620
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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

Alexa Breanna Wynglarz Slp-ccc 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 ID749781219
PECOS Enrollment IDI20250827004738

Medicare Billing Reassignment

Medicare enrollment records show Alexa Wynglarz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.9 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SARAH ANGELINA WYNGLARZ
Radiology (Diagnostic Ultrasound)
5810 LOS ALAMOS ST
BUENA PARK, CA 90620
Orange County (714) 388-2096

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 Alexa Wynglarz's NPI number?

The NPI number for Alexa Wynglarz is 1750189684. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Alexa Wynglarz located?

Alexa Wynglarz practices at 5810 Los Alamos St, Buena Park, CA 90620. The listed phone number is (714) 553-5585.

What is Alexa Wynglarz's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Alexa Wynglarz enrolled in Medicare?

Yes. Alexa Wynglarz 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 Alexa Wynglarz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Wynglarz reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, 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 Alexa Wynglarz'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 Alexa Wynglarz was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.