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ROBERT EUGENE WAILES M.D.
NPI 1154362630
Specialist in Oceanside, CA

Active since June 08, 2006PECOS Enrolled
3998 VISTA WAY # C-108, OCEANSIDE, CA 92056(760) 753-1104(760) 943-6494 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 20, 2016, Jun 13, 2016 (2 updates tracked since 2016).

About Robert Eugene Wailes M.d. NPPES

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

ROBERT EUGENE WAILES M.D. (NPI 1154362630) is an individual specialist in Oceanside, California, licensed in California (G47938) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154362630
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT EUGENE WAILESCredential: M.D.
Location Address3998 VISTA WAY # C-108Oceanside, CA 92056-4500
Mailing Address477 N. El Camino Real Ste B301Encinitas, CA 92024 · (760) 753-1104 · Fax (760) 943-6494
Phone(760) 753-1104
Fax(760) 943-6494
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 20, 20162 updates tracked since enumeration
✔ NPI 1154362630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G47938
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3998 VISTA WAY # C-108, Oceanside, CA 92056
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Other Identifiers 2

Medicare PINWG47938CCA
Medicare UPINA50870CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Eugene Wailes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Robert Wailes's NPI number?

The NPI number for Robert Wailes is 1154362630. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Robert Wailes located?

Robert Wailes practices at 3998 Vista Way # C-108, Oceanside, CA 92056. The listed phone number is (760) 753-1104.

What is Robert Wailes's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Wailes enrolled in Medicare?

Yes. Robert Wailes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wailes was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.