Active NPI
Jayson Wisk
- General Practice Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A163300
- Practice address
- 375 N la Cienega Blvd Unit 325
West Hollywood, CA 90048-1956 - Phone
- (919) 274-8109
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A163300 | CA | |
| General Practice Physician | 208D00000X | A163300 | CA | Primary |
Addresses
Primary practice location
375 N la Cienega Blvd Unit 325
West Hollywood, CA 90048-1956
Mailing address
375 N la Cienega Blvd Unit 325
West Hollywood, CA 90048-1956
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arizona College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1257 Pleasant Grove Blvd
Suite 110
Roseville, CA 95678-6971
Phone (916) 980-6814
1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070
1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321
401 N Brand Blvd
Glendale, CA 91203-4427
Phone (818) 301-9754
Hospital & facility affiliations
- Cipher Home Health
- Cared for Home Health
- Professional & Honest Home Health, Inc.
- Desante Home Health, Inc.
- 1St Solution Home Health, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 548 |
| Removal of skin lesions | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163300 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepath Medical Group Inc | Current | Accepting new patients | |
| Haumea Medical, Inc. | Current | Accepting new patients | |
| Crescent Wound Care Inc | Current | Accepting new patients | |
| Wound Docs Apc | Surgery | Current | Accepting new patients |
| Skilled Facility Health Care Solutions Inc | Surgery | Current | Accepting new patients |
| Skilled Facility Health Care Solutions Inc | Surgery | Current | Accepting new patients |
| Crescent Wound Care Inc | Current | Accepting new patients | |
| Crescent Wound Care Inc | Past | Accepting new patients |
Locations
27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321
442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311
401 N Brand Blvd
Ste 814
Glendale, CA 91203
Phone (818) 301-9754
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119
1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146
1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896
6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200
1257 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 980-6814
15720 Bernardo Center Dr
San Diego, CA 92127
Phone (858) 500-2693
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700
1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762
Interoperability endpoints
- https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Glendale, CA
- NPI 1851085948
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1841920501
-
- Family Medicine Physician
- Roseville, CA
- NPI 1124838891
-
- Surgery Physician
- Aliso Viejo, CA
- NPI 1629891676
-
- Surgery Physician
- Los Angeles, CA
- NPI 1104018423
-
- Family Medicine Physician
- Modesto, CA
- NPI 1285409540
-
- Surgery Physician
- Los Angeles, CA
- NPI 1073763462
-
- Family Medicine Physician
- The Dalles, OR
- NPI 1942177548
-
- Obstetrics & Gynecology Physician
- Spencer, TN
- NPI 1538957436
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendale, CA
- NPI 1801551171
-
- Home Health Agency
- Encino, CA
- NPI 1588245724
-
- Home Health Agency
- Burbank, CA
- NPI 1093327819
-
- Home Health Agency
- Van Nuys, CA
- NPI 1134702970
-
- Home Health Agency
- Van Nuys, CA
- NPI 1255093316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1821415944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 N LA CIENEGA BLVD UNIT 325",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N LA CIENEGA BLVD UNIT 325",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481956",
"telephone_number": "919-274-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISK",
"first_name": "JAYSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A163300",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A163300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.