Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Ryan Lising Pingol, PA-C

Individual provider Physician Assistant · NPI 1265969315

Michael Ryan Lising Pingol, PA-C is a Physician Assistant in Fountain Valley, California. Qualified in 2017, 9 years ago. Practices with Orthowest, a 47-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Phone: (714) 850-7300
Fax: (714) 850-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA54794 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1265969315
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthowest — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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