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Wise Fargo, M.D.
NPI 1619990322 · Pediatrics Physician · Loma Linda, CA
Wise Fargo, M.D. is a Pediatrics Physician provider in Loma Linda, CA (NPI 1619990322).
Provider details
- NPI number
- 1619990322
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A39502 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
11370 Anderson St
Ste B-100
Loma Linda, CA 92354-3450
Phone: (909) 558-2848
Street-level locationGet directions
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wise Fargo's NPI number?
- Wise Fargo's National Provider Identifier (NPI) is 1619990322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wise Fargo's specialty?
- Wise Fargo is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Wise Fargo located?
- Wise Fargo's practice location on file with NPPES is 11370 Anderson St, Loma Linda, CA 92354-3450.
- What is Wise Fargo's phone number?
- The practice phone number listed in the NPPES registry for Wise Fargo is (909) 558-2848.
- Is Wise Fargo's NPI active?
- Yes — Wise Fargo's NPI (1619990322) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.