Individual provider Active NPI

Cole Wofford, PA-S

  • Physician Assistant
  • La Mesa, CA
National Provider Identifier
1669227849
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67998 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 370
La Mesa, CA 91942-6103
Phone
(619) 462-5555
NPI assigned
Apr 20, 2024
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67998 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 370
La Mesa, CA 91942-6103

Mailing address

8881 Fletcher Pkwy Ste 370
La Mesa, CA 91942-6103
Phone (619) 462-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309000919 CA Practitioner - Physician Assistant 9537642541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 13TH St
San Diego, CA 92101-3829

330 13TH St
Apt 2209
San Diego, CA 92101-4762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
679898CAMDAmbulatory Care Registered Nurse
PA67998CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Physicians Medical Group, Inc. CurrentSince Mar 3, 2026 Accepting new patients
Christopher C. Bradley MD PHD, a Professional Corporation PastSince Mar 3, 2026 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942
Phone (619) 258-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1669227849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 370",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426103",
            "telephone_number": "619-462-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 370",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426103",
            "telephone_number": "619-462-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "COLE",
        "name_prefix": "Mr.",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-20",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.