Healthcare Provider Details

I. General information

NPI: 1194688051
Provider Name (Legal Business Name): WINGMED MEDICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 TOURAN LN
GOLETA CA
93117-8003
US

IV. Provider business mailing address

66 TOURAN LN
GOLETA CA
93117-8003
US

V. Phone/Fax

Practice location:
  • Phone: 310-980-3058
  • Fax: 888-450-0570
Mailing address:
  • Phone: 310-980-3058
  • Fax: 888-450-0570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS SCHARES
Title or Position: OWNER
Credential:
Phone: 310-980-3058