DR. JOSHUA ZACHARY WILDE D.O.
NPI 1730526005
General Practice in San Diego, CA
About Dr. Joshua Zachary Wilde D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSHUA ZACHARY WILDE D.O. (NPI 1730526005) is an individual general practice provider in San Diego, California, licensed in Michigan (5101026342) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Joshua Zachary Wilde D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joshua Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
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 Joshua Wilde's NPI number?
The NPI number for Joshua Wilde is 1730526005. It was assigned to this individual provider in the NPPES registry on May 28, 2013.
Where is Joshua Wilde located?
Joshua Wilde practices at San Diego Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (619) 532-8038.
What is Joshua Wilde's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Joshua Wilde enrolled in Medicare?
Yes. Joshua Wilde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joshua Wilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Wilde reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Joshua Wilde'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 Joshua Wilde was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Joshua Zachary Wilde, D.O. · NPI 1730526005
General Practice physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 28, 2013.
## Identity
- **NPI:** 1730526005 (Entity type: Individual)
- **Enumerated:** May 28, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 5101026342 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** SAN DIEGO NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, San Diego, CA 92134-0001
- **Phone:** (619) 532-8038
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730526005) · Data from the CMS NPPES public registry.