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DR. JOSHUA ZACHARY WILDE D.O.
NPI 1730526005
General Practice in San Diego, CA

Active since May 28, 2013PECOS Enrolled
SAN DIEGO NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 532-8038 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1730526005
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSHUA ZACHARY WILDECredential: D.O.
Location AddressSAN DIEGO NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVESan Diego, CA 92134-0001
Mailing Address4796 Panorama DrSan Diego, CA 92116-1239
Phone(619) 532-8038
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 28, 2013
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1730526005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101026342
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 5101026342 (MI)
SAN DIEGO NAVAL MEDICAL CTR, San Diego, CA 92134
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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 (PECOS)

Dr. Joshua Zachary Wilde D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840547113
PECOS Enrollment IDI20251119000889
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 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.

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 8 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.