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MRS. DEISHA MALONES WILSON D.O.
NPI 1053648626
Family Medicine in Vista, CA

Active since November 03, 2009PECOS EnrolledAccepts Medicare Assignment
145 THUNDER DR, VISTA, CA 92083(760) 941-9002(760) 630-2515 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Sep 23, 2016 (2 updates tracked since 2016).

About Mrs. Deisha Malones Wilson D.o. NPPES

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

MRS. DEISHA MALONES WILSON D.O. (NPI 1053648626) is an individual family medicine provider in Vista, California, licensed in California (20A11676) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1053648626
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. DEISHA MALONES WILSONCredential: D.O.
Location Address145 THUNDER DRVista, CA 92083-6010
Mailing Address11 Technology DrIrvine, CA 92618-2302 · (949) 923-3277 · Fax (855) 812-5865
Phone(760) 941-9002
Fax(760) 630-2515
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateNovember 3, 2009
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1053648626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11676
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
145 THUNDER DR, Vista, CA 92083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Deisha Malones Wilson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113179847
PECOS Enrollment IDI20121204000221
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ERINN LEWIS DEGRACIA FNP
Nurse Practitioner (Family)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
MS. PAULA SORRENTINO PA-C
Physician Assistant (Medical)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5487
CASSIDY MEDICAL GROUP - RADIOLOGY
Radiology (Diagnostic Radiology)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5485
CASSIDY MEDICAL GROUP INC.
Clinic/Center (Multi-Specialty)
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5487
GARY L KOBAYASHI M.D.
Internal Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 630-5464
DR. DAVID SCOT ZIMMERMAN M.D.
Family Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
DR. SIMONA C POP MD
Family Medicine
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-9002
ERIN C QUINN NPF
Nurse Practitioner
145 THUNDER DR
VISTA, CA 92083
San Diego County (760) 941-1440

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 Deisha Wilson's NPI number?

The NPI number for Deisha Wilson is 1053648626. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Where is Deisha Wilson located?

Deisha Wilson practices at 145 Thunder Dr, Vista, CA 92083. The listed phone number is (760) 941-9002.

What is Deisha Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deisha Wilson enrolled in Medicare?

Yes. Deisha Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deisha Wilson was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.