Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Edward Wightman Jr., PA-C

Individual provider Physician Assistant · NPI 1467729400

Thomas Edward Wightman Jr., PA-C is a Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6691 Convoy Ct
San Diego, CA 92111-1008
Phone: (858) 715-1211
Fax: (858) 715-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10373 (CA)

Record details

NPI number1467729400
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2011
Last updated in NPPESNovember 18, 2011

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