Look up the most recent NPI and PECOS records

Christopher Rich Wixom

Specialist

Other Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTOPHER WIXOM.

Based on the most recent information from CMS, provider Christopher Rich Wixom is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1235194879
Provider Type
Individual
Full Name
Wixom, Christopher Rich
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/18/2006
Last Updated
7/8/2007

Contact Information

Practice Location

7901 Frost St, San Diego, CA 92123-2701

(858) 939-3660

Unlisted Fax

Mailing Location

7901 Frost St, San Diego, CA 92123-2701

(858) 939-3660

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License A74676 California

Christopher Rich Wixom

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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