Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558063248 Individual Practitioner Male Practitioner

Dr. Kyle Wickham , MD

Pediatrics • San Marcos, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Wickham, MD is a registered healthcare professional specializing in Pediatrics in San Marcos, CA. Practice services are available at 400 CRAVEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Craven Rd

San Marcos, CA 920784201

Telephone 8335742273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Marcos, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
18 Specialists

Practicing in San Marcos, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A207633

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lauren Mulligan , MD

Psychiatry & Neurology - Psychiatry

NPI 1003277914

Doctor of Medicine (M.D.)

Dr. Haein Kim , MD

Family Medicine

NPI 1003392309

Doctor of Medicine (M.D.)

Dr. David Hwang , DO

Internal Medicine - Nephrology

NPI 1003475039

Doctor of Osteopathic Medicine (D.O.)

Dr. Daniel Chu , MD

Family Medicine

NPI 1003481375

Doctor of Medicine (M.D.)

Dr. Bansari Patel , DO

Student in an Organized Health Care Education/Training Program

NPI 1003565912

Doctor of Osteopathic Medicine (D.O.)

Dr. Alexander Wong , DO

Student in an Organized Health Care Education/Training Program

NPI 1003666116

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 04, 2026

Registered at 400 CRAVEN RD, SAN MARCOS, CA 920784201 (Tel: 8335742273)

📍
Updated Business Mailing Address August 04, 2026

Registered at 400 CRAVEN RD, SAN MARCOS, CA 920784201

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Pediatrics (License #A207633 in CA)

NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 801 ALBANY ST, BOSTON, MA 021192560 (Tel: 6176388000)

📍
Updated Business Mailing Address March 20, 2023

Registered at 801 ALBANY ST, BOSTON, MA 021192560

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as KYLE WICKHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558063248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: August 04, 2026
Sole Proprietor: No

Mailing Address

400 Craven Rd

San Marcos, CA 920784201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.