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

Dr. Wynnis L. Tom, MD

Individual provider Pediatric Dermatology Physician · NPI 1922215045

Dr. Wynnis L. Tom, MD is a Dermatology in San Diego, California. Qualified in 2003, 23 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2007
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

8010 Frost St Ste 602
San Diego, CA 92123-2778
Phone: (858) 966-6795
Fax: (858) 966-4040
Show map & directions

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

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence A99290 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A99290 (CA)

Record details

NPI number1922215045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESSeptember 19, 2011

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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