Dr. Graciela Wilcox, M.D.
Pediatrics in San Diego, CA. Individual provider (NPI-1).
NPI number1083674469
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1083674469
- Entity type
- Individual (NPI-1)
- Name
- Dr. Graciela Wilcox
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2006
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 31480 | AZ | Yes |
| 173000000X | Legal Medicine | 31480 | AZ | |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | C140630 | CA |
Practice location
7910 Frost St Ste 360San Diego, CA 92123-2776
Phone 858-246-0053
Mailing address
2 Upper Ragsdale Dr Ste B210Monterey, CA 93940-7851
Phone 831-333-0999 · Fax 831-333-0909
Other practice locations
2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Monterey, CA 93940-7851
Phone 831-333-0999 · Fax 831-333-0909
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 477 Pediatrics Physician providers in San Diego · All 61,118 providers in San Diego
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