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

Justin David Wren

Individual provider Surgical Physician Assistant · NPI 1811870165

Justin David Wren is a Physician Assistant in Colton, California. Qualified in 2025, 1 year ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Specialties on file
3

Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-6374
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1811870165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address400 N Pepper Ave., Mob 205, Colton, CA 92324

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton