PAUL J. WISNIEWSKI D.O. – NPI #1063674190
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Surgery

PAUL WISNIEWSKI is a surgeon located in APPLE VALLEY, CA. NPPES has assigned the NPI number 1063674190 to PAUL WISNIEWSKI on June 30, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was last updated on Oct 31, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL WISNIEWSKI below.

NPI Profile for
PAUL J. WISNIEWSKI

NPI Number
1063674190
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL J. WISNIEWSKI
Credentials
D.O.
Primary location
18523 CORWIN RD STE A
APPLE VALLEY, CA 92307-2300
Phone: (909) 353-5285 Fax:
3 Other location(s):
400 N Pepper Ave Ste 308
Colton, CA 92324-1801
Phone: (909) 580-3353
Fax: (909) 580-1363
450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Phone: (350) 225-3602
900 23rd St NW
Washington, DC 20037-2342
Phone: (202) 677-6219
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 31, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)		 CA CA209062
208600000X
- Surgery		 CA 20A9062

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PAUL WISNIEWSKI is affiliated with the following medical group(s):
  • HOSPITAL
    • DESERT REGIONAL MEDICAL CENTER
      1150 NORTH INDIAN CANYON DRIVE
      PALM SPRINGS, CA 92262
    • DUKES MEMORIAL HOSPITAL
      275 W 12TH ST
      PERU, IN 46970
    • LUTHERAN HOSPITAL OF INDIANA
      7910 W JEFFERSON BLVD
      FORT WAYNE, IN 46804

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.