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DONNELL WIGFALL D.O.
NPI 1841465556
Psychiatry & Neurology - Child & Adolescent Psychiatry in Victorville, CA

Active since April 23, 2008PECOS Enrolled
12625 HESPERIA RD, VICTORVILLE, CA 92395(760) 995-8300(760) 955-2356 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2024, Dec 10, 2020, Jul 4, 2020 (3 updates tracked since 2020).

About Donnell Wigfall D.o. NPPES

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

DONNELL WIGFALL D.O. (NPI 1841465556) is an individual child & adolescent psychiatry provider in Victorville, California, licensed in California (20A11625) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Huntington Park.

NPPES Registry Identity

NPI1841465556
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDONNELL WIGFALLCredential: D.O.
Location Address12625 HESPERIA RDVictorville, CA 92395-7720
Mailing Address1233 Harvard AveClaremont, CA 91711-3819 · (909) 762-6625
Phone(760) 995-8300
Fax(760) 955-2356
Sole ProprietorNo
Enumeration DateApril 23, 2008
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1841465556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · 20A11625
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
12625 HESPERIA RD, Victorville, CA 92395
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Secondary Practice Location 1

Location 1San Antonio Family Center, 2629 Clarendon Ave.Huntington Park, CA 90255 · Phone (323) 584-3700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donnell Wigfall D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

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

County Of San Bernardino
Same address
Mental Health (Including Community Mental Health Center)
12625 HESPERIA RD
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1699984997 (909) 382-3080

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 20

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

ERICA WILSON
Adult Companion
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
ALICIA KAY MCDONELL
Day Training/Habilitation Specialist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
MRS. STARLA N. LYLES MCKELVY DO
Psychiatry & Neurology (Psychiatry)
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
HAROLD S HINES
Counselor (Mental Health)
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 955-1777
ADRIANA HERMOSILLO M.S., LMFT
Marriage & Family Therapist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
ERICA MARISCAL-VIGIL
Case Manager/Care Coordinator
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300
BRYAN ALEJANDRO CORNIEL
Rehabilitation Practitioner
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8345
REBECCA MARIE ALVAREZ
Day Training/Habilitation Specialist
12625 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 995-8300

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 Donnell Wigfall's NPI number?

The NPI number for Donnell Wigfall is 1841465556. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Donnell Wigfall located?

Donnell Wigfall practices at 12625 Hesperia Rd, Victorville, CA 92395. The listed phone number is (760) 995-8300.

What is Donnell Wigfall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Donnell Wigfall enrolled in Medicare?

Yes. Donnell Wigfall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donnell Wigfall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donnell Wigfall reassigns Medicare benefits to County Of San Bernardino (Victorville, 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 Donnell Wigfall'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 Donnell Wigfall was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.