Landon King, M.D.
NPI 1104352509ActiveIndividual· Surgery· Oceanside, CA
Surgery (M.D.) in Oceanside, California, trained at Medical College of Georgia School of Medicine (class of 2017). Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1104352509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 4, 2017 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | A186153 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CA) |
|---|
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | General Surgery |
Medical group
- Paul J Wisniewski DO IncApple Valley, CA · 19 clinicians
Hospital affiliation
- Providence St Mary Medical CenterApple Valley, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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