Provider Demographics
NPI:1285429886
Name:MEDICWISER
Entity type:Organization
Organization Name:MEDICWISER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARFRAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:TABISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-663-3117
Mailing Address - Street 1:PO BOX 8331
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95208-0331
Mailing Address - Country:US
Mailing Address - Phone:209-663-3117
Mailing Address - Fax:
Practice Address - Street 1:5665 N PERSHING AVE STE B4
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4948
Practice Address - Country:US
Practice Address - Phone:209-663-3117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies