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DALTON ANDREW WISE
NPI 1265015572
Student in an Organized Health Care Education/Training Program in Torrance, CA

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
1000 W CARSON ST, TORRANCE, CA 90502(424) 306-6219 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2026, Jan 28, 2026, May 4, 2021 (3 updates tracked since 2021).

About Dalton Andrew Wise NPPES

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

DALTON ANDREW WISE (NPI 1265015572) is an individual student in an organized health care education/training program in Torrance, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265015572
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDALTON ANDREW WISE
Location Address1000 W CARSON STTorrance, CA 90502-2059
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Phone(424) 306-6219
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2021
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1265015572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License MD2024-1078 (NM)
1000 W CARSON ST, Torrance, CA 90502
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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

Dalton Andrew Wise 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 ID5991283848
PECOS Enrollment IDI20260202000578
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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.

MISS BRITTANY IRVINE M.A.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
DEPAREMENT OF MANTAL HEALTH
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1648
DINA M MEZA
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Los Angeles County (310) 222-2741
MARIA GUADALUPE VALADEZ
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (559) 789-1327
ESTEBAN COTA
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
MS. DAWN MARIE TLUSTY RN
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1906
DR. NICOLE MOORE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
KENTON YUJI SAKURAI
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (424) 306-4000

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 Dalton Wise's NPI number?

The NPI number for Dalton Wise is 1265015572. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Dalton Wise located?

Dalton Wise practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-6219.

What is Dalton Wise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dalton Wise enrolled in Medicare?

Yes. Dalton Wise 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.

Is Dalton Wise affiliated with any hospitals?

According to CMS data, Dalton Wise is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Dalton Wise was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.