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NPISignal

Individual Healthcare Provider

Paul John Wisniewski, D.O.

NPI Record: ActiveSurgery — Surgical Critical Care
NPI1063674190
Apple Valley, California

Provider's NPPES record last updated: October 31, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1063674190
Primary Specialty
Surgery — Surgical Critical Care
Practice Location
Apple Valley, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 3:21 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

Provider-Reported License Information

Surgery (California)
CA209062
Surgery (Florida)
OS 12023
Surgery (California)
20A9062
Surgery (District of Columbia)
DO034774
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

18523 Corwin Rd Ste A

Apple Valley, California 92307-2300

Phone: (909) 353-5285

Additional Practice Location

400 N Pepper Ave Ste 308

Colton, California 92324-1801

Phone: (909) 580-3353

Fax: (909) 580-1363

Additional Practice Location

900 23rd St Nw

Washington, District of Columbia 20037-2342

Phone: (202) 677-6219

Additional Practice Location

450 E Yosemite Ave Ste D

Merced, California 95340-8429

Phone: (350) 225-3602

Record Information

Enumeration Date
June 30, 2008
Provider's NPPES Record Last Updated
October 31, 2025
Certification Date
October 31, 2025
NPISignal NPPES Dataset
August 2026

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