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

Dr. Shane L Wilder, MD

Individual provider Internal Medicine Physician · NPI 1922667443

Dr. Shane L Wilder, MD is an Internal Medicine in West Hollywood, California. Qualified in 2019, 7 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
7
Licensed in
NM
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8700 Beverly Blvd Ste 5512
West Hollywood, CA 90048-1804
Phone: (310) 423-2811
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2022-0910 (NM)

Record details

NPI number1922667443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2019
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Hollywood