Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wandisan and Rosete Medical Group Professional Corporation

Organization Internal Medicine Physician · NPI 1316058795

Wandisan and Rosete Medical Group Professional Corporation is an Internal Medicine Physician in Tracy, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

4600 S Tracy Blvd #107
Tracy, CA 95377
Phone: (209) 836-4920
Fax: (209) 836-4935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A72169 (CA)

Record details

NPI number1316058795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Florence Rosete — Cfo · (209) 836-4920
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 10, 2018
Mailing address4600 S Tracy Blvd #107, Tracy, CA 95377

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