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

Dr. Augustine Reid Wilson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770014755

Dr. Augustine Reid Wilson, MD is a General Surgery in Oceanside, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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

200 Mercy Cir
Oceanside, CA 92055
Phone: (760) 725-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4015 Bayshore Blvd Apt 3c, Tampa, FL 33611-1700 — (239) 464-8981

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125070644 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770014755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESOctober 28, 2024
Certification dateJuly 7, 2022
Mailing address1740 Eagles Nest Way Apt 319, Oceanside, CA 92058-7181

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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