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

Dr. Audra C Wise, MD

Individual provider Pediatrics Physician · NPI 1295034056

Dr. Audra C Wise, MD is a Pediatrics Physician in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-5818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence A114312 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A114312 (CA)

Record details

NPI number1295034056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2011
Last updated in NPPESMarch 3, 2016

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