DR. AUDRA C WISE MD
NPI 1295034056
Pediatrics - Neonatal-Perinatal Medicine in San Diego, CA
About Dr. Audra C Wise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUDRA C WISE MD (NPI 1295034056) is an individual neonatal-perinatal medicine provider in San Diego, California, licensed in California (A114312) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Audra C Wise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Audra Wise's NPI number?
The NPI number for Audra Wise is 1295034056. It was assigned to this individual provider in the NPPES registry on March 19, 2011.
Where is Audra Wise located?
Audra Wise practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5818.
What is Audra Wise's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Audra Wise enrolled in Medicare?
Yes. Audra Wise is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Audra Wise was last updated on March 3, 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.
# Dr. Audra C Wise, MD · NPI 1295034056
Neonatal-Perinatal Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 19, 2011.
## Identity
- **NPI:** 1295034056 (Entity type: Individual)
- **Enumerated:** March 19, 2011
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** A114312 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-5818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 3, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1295034056) · Data from the CMS NPPES public registry.