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

Q: 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.

Q: 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.

Q: 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 19 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.

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: August 02, 2026.

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

On this page

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

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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