Gary Dewayne Wiley Jr., PA-C

  • Marina Del Rey, CA
  • Physician assistant
NPI1427885656PAC ID2264900141
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2024
Practice locations
2
Practice address
19803 1st Ave S Suite 200 Suite 200, Normandy Park, WA 98148-2410
Practice phone
Call (480) 712-8319
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

Athena Medical Group - Normandy Park

NP / PA-led clinic · Normandy Park, Washington

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Gary Dewayne Wiley Jr. is a physician assistant in Marina Del Rey, California

Gary Wiley practices at Athena Medical Group - Normandy Park in Normandy Park, Washington.

Gary Wiley's NPI, 1427885656, was assigned on September 19, 2024. Gary Wiley holds California license PA65066.

NPI and contact details
Medicare PAC ID
2264900141
NPI enumeration date
September 19, 2024
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(480) 712-8319
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
28
Medical school graduation
2024

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Gary Dewayne Wiley Jr. practices in Normandy Park and Marina Del Rey

Gary Wiley's primary practice is Athena Medical Group - Normandy Park, at 19803 1st Ave S Suite 200 Suite 200, Normandy Park, WA 98148-2410. The practice phone is (480) 712-8319. The NPI Registry lists Gary Wiley's practice address as 4011 Via Marina Apt 107, Marina Del Rey, CA 90292.

  • Athena Medical Group - Normandy ParkPrimary
    19803 1st Ave S Suite 200 Suite 200, Normandy Park, WA 98148-2410Phone(480) 712-8319
  • NPI Registry address
    4011 Via Marina Apt 107, Marina Del Rey, CA 90292

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Gary Dewayne Wiley Jr. is affiliated with 1 site of care and 1 medical group

Gary Wiley's primary practice is Athena Medical Group - Normandy Park in Normandy Park, Washington. The medical group on file is Athena Medical Group.

Athena Medical Group - Normandy ParkNP / PA-led clinic · Normandy Park, WashingtonPrimary
Athena Medical GroupPrimary care group, Phoenix, AZ

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Gary Dewayne Wiley Jr.'s practice

Dmand AI tracks the electronic health record (EHR) system at each site where Gary Wiley practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Athena Medical Group - Normandy ParkAvailable with a free account

Source: Dmand AI Technology Install Data

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Gary Dewayne Wiley Jr. is one of 11,482 physician assistants in California

Physician assistant is Gary Wiley's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Gary Wiley is licensed in California.

Specialties and state licenses

  • Physician assistant, CaliforniaPrimaryLicense PA65066 · taxonomy 363A00000X

Physician assistants near Gary Wiley

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Gary Dewayne Wiley Jr.'s patients have a median age of 58

Across all payers, Dmand AI patient panel data puts Gary Wiley's median patient age at 58, with 0% women.

Gary Wiley's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 58

Patient panel by sex, all payers

  • Women0%
  • Men100%

Source: Dmand AI Patient Panel Data

How Gary Dewayne Wiley Jr. takes part in Medicare

Gary Wiley accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Gary Dewayne Wiley Jr.'s profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Gary Dewayne Wiley Jr.

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Gary Dewayne Wiley Jr.'s NPI number?

Gary Dewayne Wiley Jr.'s NPI number is 1427885656. It was assigned on September 19, 2024, and it is active in the NPI Registry.

What does Gary Dewayne Wiley Jr. specialize in?

Gary Dewayne Wiley Jr. is a physician assistant in Marina Del Rey, California. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Gary Dewayne Wiley Jr. practice?

Gary Wiley practices at 19803 1st Ave S Suite 200 Suite 200, Normandy Park, WA 98148-2410. Gary Wiley also practices at 4011 Via Marina Apt 107, Marina Del Rey, CA 90292. Gary Wiley's primary practice is Athena Medical Group - Normandy Park in Normandy Park, Washington.

What is Gary Dewayne Wiley Jr.'s office phone number?

The practice phone on file for Gary Wiley is (480) 712-8319.

What is Gary Dewayne Wiley Jr.'s medical license number?

Gary Wiley holds California license PA65066.

What medical group is Gary Dewayne Wiley Jr. part of?

Gary Wiley is linked to Athena Medical Group.

Does Gary Dewayne Wiley Jr. accept Medicare?

Yes. CMS lists Gary Wiley as accepting Medicare assignment.

How long has Gary Dewayne Wiley Jr. been practicing?

Gary Wiley graduated from medical school in 2024, 2 years ago.

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