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

Tess Wianecki, PA

Individual provider Physician Assistant · NPI 1881112449

Tess Wianecki, PA is a Physician Assistant in Arroyo Grande, California. Qualified in 2017, 9 years ago. Practices with Pacific Shores Dermatology and Skin Cancer Institute, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

860 Oak Park Blvd Ste 101
Arroyo Grande, CA 93420-1800
Phone: (805) 202-8245
Fax: (805) 202-8117
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55021 (CA)

Record details

NPI number1881112449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pacific Shores Dermatology And Skin Cancer Institute — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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