Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Aaron Wickard

General Practice β€’ Coronado, CA

Active NPI 1134879372 Individual Practitioner Male Practitioner
Practice location in NPPES

3632 Tulagi Road
Coronado, CA 92118

Call 6195457413 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3632 Tulagi Road

Coronado, CA 92118

Telephone 6195457413
Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Diego, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coronado and California

5 active clinicians are listed under General Practice with a practice address in Coronado, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 010278960

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

34800 Bob Wilson Dr

San Diego, CA 921341098

Phone: 6195327599

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address July 01, 2026

Registered at 34800 BOB WILSON DR # DT, SAN DIEGO, CA 921341098

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

General Practice (license number reported to NPPES: VA 010278960)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Military Health Care Provider

πŸ“
Updated Practice Location November 29, 2023

Registered at 3632 TULAGI ROAD, CORONADO, CA 92118 (Tel: 6195457413)

βœ…
NPI Profile Active March 28, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2022

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195327599)

πŸ“
Business Mailing Address (Initial Record) March 28, 2022

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921343165

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2022

Recorded as AARON WICKARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 28, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1134879372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2022
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

34800 Bob Wilson Dr # Dt

San Diego, CA 921341098

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.