Traeden Wilson, MD
NPI 1063117067 · Student in an Organized Health Care Education/Training Program · Loma Linda, CA
Enrolled with Medicare as Order and Referring Only - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traeden Wilson, MD is a Student in an Organized Health Care Education/Training Program provider in Loma Linda, CA (NPI 1063117067).
Provider details
- NPI number
- 1063117067
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2023-03-31
- Certified
- 2023-03-31
Frequently asked questions
- What is Traeden Wilson's NPI number?
- Traeden Wilson's National Provider Identifier (NPI) is 1063117067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Traeden Wilson's specialty?
- Traeden Wilson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Traeden Wilson located?
- Traeden Wilson's practice location on file with NPPES is 11234 Anderson St, Loma Linda, CA 92354-2804.
- What is Traeden Wilson's phone number?
- The practice phone number listed in the NPPES registry for Traeden Wilson is (909) 558-2600.
- Does Traeden Wilson accept Medicare?
- Traeden Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Traeden Wilson's NPI active?
- Yes — Traeden Wilson's NPI (1063117067) is active in the NPPES registry as of the last update on 2023-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.