PAUL JOHN WISNIEWSKI D.O.
NPI 1063674190
Surgery - Surgical Critical Care in Apple Valley, CA
About Paul John Wisniewski D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL JOHN WISNIEWSKI D.O. (NPI 1063674190) is an individual surgical critical care provider in Apple Valley, California, licensed in California (CA209062) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2003).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul John Wisniewski 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.
Medicare Billing Reassignments
6Medicare enrollment records show Paul Wisniewski reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 89 clinicians in this Medicare group
Lynwood, CA 90262
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Mission Viejo, CA 92691
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Washington, DC 20037
- Reassigned Medicare billing, District of Columbia enrollment
- 1,275 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLE VALLEY, CA 92307
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 Paul Wisniewski's NPI number?
The NPI number for Paul Wisniewski is 1063674190. It was assigned to this individual provider in the NPPES registry on June 30, 2008.
Where is Paul Wisniewski located?
Paul Wisniewski practices at 18523 Corwin Rd Ste A, Apple Valley, CA 92307. The listed phone number is (909) 353-5285.
What is Paul Wisniewski's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Paul Wisniewski enrolled in Medicare?
Yes. Paul Wisniewski 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.
Which organizations bill Medicare for Paul Wisniewski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wisniewski reassigns Medicare benefits to 6 organizations: Paul J Wisniewski Do Inc (Apple Valley, CA), Faculty Physicians And Surgeons Of Llusm (Apple Valley, CA), Cal Med Physicians And Surgeons, Inc. (Colton, CA), Desert Trauma Surgeons, Inc. (Lynwood, CA), Oc Trauma Inc (Mission Viejo, CA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Wisniewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Paul Wisniewski was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Paul John Wisniewski, D.O. · NPI 1063674190
Surgical Critical Care physician in Apple Valley, California. Individual provider, active in the CMS NPPES registry since June 30, 2008.
## Identity
- **NPI:** 1063674190 (Entity type: Individual)
- **Enumerated:** June 30, 2008
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** CA209062 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18523 CORWIN RD STE A, Apple Valley, CA 92307-2300
- **Phone:** (909) 353-5285
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Paul J Wisniewski Do Inc (NPI 1780433698, Apple Valley, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1205009917, Apple Valley, CA); Cal Med Physicians And Surgeons, Inc. (NPI 1316054737, Colton, CA); Desert Trauma Surgeons, Inc. (NPI 1144225426, Lynwood, CA); Oc Trauma Inc (NPI 1720516628, Mission Viejo, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2003
## Record status
- **NPPES last updated:** October 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063674190) · Data from the CMS NPPES public registry.