DR. JEFFREY GRANT WILSON (NPI# 1245277979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245277979 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY GRANT WILSON |
| Credential | PH.D. |
| Practice Address |
27725 Santa Margarita Pkwy Suite 215 Mission Viejo CA 92691-6704 |
| Practice Telephone | 9492723870 |
| Practice Fax Number | 9499512802 |
| Mailing Telephone | 9492723870 |
| Mailing Fax Number | 9299512802 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2009-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12832 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP ID | W19141A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1184727612 | Jeffrey F Wilson | Optometrist | 126 W Wheatland Ave, Remus, MI 49340 | 2006-09-07 |
| 1417065715 | Jeffrey Whiteside Wilson | Psychiatry & Neurology | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-27 |
| Street Address |
27725 SANTA MARGARITA PKWY SUITE 215 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213729 | Julie Ann Malley | Chiropractor | 27725 Santa Margarita Pkwy, Suite 201, Mission Viejo, CA 92691-6704 | 2005-08-29 |
| 1720538812 | Christopher Lin M.d. Inc. | Clinic/Center | 27725 Santa Margarita Pkwy, Suite 225, Mission Viejo, CA 92691-6704 | 2016-10-12 |
| 1043694391 | Robert A Milner Dds Dental Corporation | Dentist | 27725 Santa Margarita Pkwy, Suite 120, Mission Viejo, CA 92691-6704 | 2015-07-16 |
| 1619316403 | Michael Kenneth Clark | Dentist | 27725 Santa Margarita Pkwy, Suite 130, Mission Viejo, CA 92691-6704 | 2013-06-14 |
| 1316294457 | Christopher B Lin, Inc | Pediatrics | 27725 Santa Margarita Pkwy, Suite # 225, Mission Viejo, CA 92691-6704 | 2012-08-08 |
| 1518233402 | Paul H. Turek Dc Chiropractic Inc | Prosthetic/Orthotic Supplier | 27725 Santa Margarita Pkwy, Suite 100, Mission Viejo, CA 92691-6704 | 2012-03-26 |
| 1245493105 | Christine Tuong Linh Hoang | Dentist | 27725 Santa Margarita Pkwy, Suite 270, Mission Viejo, CA 92691 | 2008-07-09 |
| 1194914176 | J. Margo Jaffe Orr, M.d., Inc. | Internal Medicine | 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691-6707 | 2007-10-16 |
| 1801087218 | Alamitos Dermatological Medical Clinic A Professional Corp | Specialist | 27725 Santa Margarita Pkwy, Suite 110, Mission Viejo, CA 92691-6704 | 2007-08-09 |
| 1205027869 | Pacific Pediatric Therapy | Clinic/Center | 27725 Santa Margarita Pkwy, Suite 221, Mission Viejo, CA 92691-6704 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669883211 | Thiensa Cao | Psychologist | 27700 Medical Center Rd Ste 108, Mission Viejo, CA 92691 | 2014-05-16 |
| 1114368792 | Amanda Louise Wood | Psychologist | 27285 Las Ramblas Ste 140, Mission Viejo, CA 92691-8551 | 2013-07-11 |
| 1114233392 | John David Misa | Psychologist | 26400 La Alameda Ste 208, Mission Viejo, CA 92691-6307 | 2010-08-25 |
| 1295972263 | Kristin Schwellenbach Merrill | Psychologist | 27405 Puerta Real Ste 330, Mission Viejo, CA 92691 | 2009-01-13 |
| 1730367780 | Olga Cervantes | Psychologist | 26400 La Alameda, Ste 208, Mission Viejo, CA 92691-6307 | 2008-02-01 |
| 1568482636 | Donald Keith Schubert | Psychologist | 21252 Limber, Mission Viejo, CA 92692-4075 | 2006-07-20 |
| 1316918279 | Stephen James Harris | Psychologist | 26381 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6301 | 2006-01-30 |
| 1861054264 | Sebastien Robert Edouard Montel | Psychologist | 27201 Puerta Real Ste 300, Mission Viejo, CA 92691-8590 | 2019-07-05 |
| 1861858490 | Heritage Associates, Inc. | Psychologist | 27405 Puerta Real Ste 150, Mission Viejo, CA 92691-6366 | 2016-01-12 |
| 1679982649 | Lynda Kaye Truesdell | Psychologist | 27201 Puerta Real, Ste 300, Mission Viejo, CA 92691-8590 | 2014-08-04 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on DR. JEFFREY GRANT WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.