Individual provider Active NPI

Jayson Wisk

  • General Practice Physician
  • West Hollywood, CA
National Provider Identifier
1821415944
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A163300 Issued in CA
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

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127001647 CA Practitioner - General Surgery 0446608798 Reassigns benefits to 6 organizations

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
Haumea Medical IncGroup PAC ID 0143741280, 2 clinicians
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians
Carepath Medical Group IncGroup PAC ID 8224499868, 9 clinicians

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 Home health agency, Burbank, CA, CCN 757218
  • Cared for Home Health Home health agency, Glendale, CA, CCN 757367
  • Professional & Honest Home Health, Inc. Home health agency, Reseda, CA, CCN 757610
  • Desante Home Health, Inc. Home health agency, Van Nuys, CA, CCN 757226
  • 1St Solution Home Health, Inc. Home health agency, Glendale, CA, CCN 757573

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue548
Removal of skin lesions31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163300CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepath Medical Group Inc CurrentSince Jan 12, 2025 Accepting new patients
Haumea Medical, Inc. CurrentSince Jul 24, 2025 Accepting new patients
Crescent Wound Care Inc CurrentSince Aug 7, 2025 Accepting new patients
Wound Docs Apc Surgery CurrentSince Sep 11, 2025 Accepting new patients
Skilled Facility Health Care Solutions Inc Surgery CurrentSince Nov 1, 2023 Accepting new patients
Skilled Facility Health Care Solutions Inc Surgery CurrentSince Nov 1, 2023 Accepting new patients
Crescent Wound Care Inc CurrentSince Aug 7, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.