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

Dr. Thaddeus Earl Wilson, MD

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1184839896

Dr. Thaddeus Earl Wilson, MD is a Physical Medicine and Rehabilitation in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2006, 20 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11406 Loma Linda Dr Physical Medicine And Rehabilitation
Loma Linda, CA 92354-3711
Phone: (909) 558-6275
Fax: (909) 558-6212
Show map & directions

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

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence A102261 (CA)

Record details

NPI number1184839896
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 15, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare