Wade Garret Fueconcillo
NPI 1912496423ActiveIndividual· Physician Assistant· Colton, CA
Physician Assistant with Southern California Permanente Medical Group, practicing in Colton, California. Part D covered 607 prescriptions written in 2024, 94% of them generic. Lists Kaiser Foundation Hospital - Orange County - Anaheim as a hospital affiliation.
Overview
| NPI | 1912496423 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 10, 2018 |
| Last updated in NPPES | Dec 6, 2021 |
| Certified by provider | Aug 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Orthopaedic Surgery | 207X00000X | PA55900 | CA |
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 - Physician Assistant (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 607 · 682 30-day fills |
|---|---|
| Patients | 220 |
| Total drug cost | $15,191 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
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 161 physician assistants in Colton · All physician assistants in California