Alexis Wildenauer, D.O.
NPI 1417247537ActiveIndividual· Emergency Medicine· Fontana, CA
Emergency Medicine (D.O.) with Southern California Permanente Medical Group, practicing in Fontana, California. 46 Medicare patients in 2024, $3,602 paid; nearly all of their 321 Part D prescriptions were generic (92%). Lists Kaiser Foundation Hospital Fontana/Ontario as a hospital affiliation.
Overview
| NPI | 1417247537 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Apr 11, 2011 |
| Last updated in NPPES | Nov 4, 2021 |
| Certified by provider | Nov 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 20A13902 | CA |
| Emergency Medicine | 207P00000X | 5101019330 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 48 across 6 procedure codes |
| Paid by Medicare | $3,602 |
Part D prescriptions in 2024
| Prescriptions (claims) | 321 · 330 30-day fills |
|---|---|
| Patients | 207 |
| Total drug cost | $4,542 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital Fontana/OntarioFontana, 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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All 56 emergency medicine physicians in Fontana · All emergency medicine physicians in California