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JAYSON WISK
NPI 1821415944
General Practice in West Hollywood, CA

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
375 N LA CIENEGA BLVD UNIT 325, WEST HOLLYWOOD, CA 90048(919) 274-8109 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Aug 22, 2024, Oct 30, 2023 (3 updates tracked since 2023).

About Jayson Wisk NPPES

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

JAYSON WISK (NPI 1821415944) is an individual general practice provider in West Hollywood, California, licensed in California (A163300) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2014).

NPPES Registry Identity

NPI1821415944
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJAYSON WISK
Location Address375 N LA CIENEGA BLVD UNIT 325West Hollywood, CA 90048-1956
Mailing Address375 N La Cienega Blvd Unit 325West Hollywood, CA 90048-1956
Phone(919) 274-8109
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1821415944 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 CA · A163300
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 ListedSurgeryTaxonomy 208600000X · License A163300 (CA)
375 N LA CIENEGA BLVD UNIT 325, West Hollywood, CA 90048
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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

Jayson Wisk 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 ID446608798
PECOS Enrollment IDI20231127001647
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 Jayson Wisk's NPI number?

The NPI number for Jayson Wisk is 1821415944. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Jayson Wisk located?

Jayson Wisk practices at 375 N La Cienega Blvd Unit 325, West Hollywood, CA 90048. The listed phone number is (919) 274-8109.

What is Jayson Wisk's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jayson Wisk enrolled in Medicare?

Yes. Jayson Wisk 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.

When was this NPI record last updated?

The NPPES record for Jayson Wisk was last updated on October 7, 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.