SCOTT WILLIAM WILSON (NPI# 1306376629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306376629 |
| Entity Type | Individual |
| Full Name | SCOTT WILLIAM WILSON |
| Practice Address |
1891 N. Gaffey Street Suite 219 & 221 San Pedro CA 90036 |
| Mailing Address |
1891 N Gaffey St Ste 219&221 San Pedro CA 90731-1267 |
| Practice Telephone | (424) 570-0241 |
| Mailing Telephone | 4245700241 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780974600 | Scott H Wilson | Social Worker | 86 Grant Ave, Islip, NY 11751-3503 | 2011-04-12 |
| 1346560521 | Scott Cullen Wilson | Occupational Therapist | 36 Wilkinson Rd, Randolph, NJ 07869-3470 | 2010-06-10 |
| 1740307735 | Scott Wilson | Hearing Instrument Specialist | 751 Stokes Rd, Medford, NJ 08055-3002 | 2007-03-23 |
| 1538227400 | Scott David Wilson | Chiropractor | 817 N 1st Ave, Evansville, IN 47710-1937 | 2006-12-04 |
| 1538234836 | Scott R Wilson | Dentist | 1215 Currency Ct, Rochelle, IL 61068-2321 | 2006-11-21 |
| 1700955853 | Scott P Wilson | Dentist | 6015 S Fort Apache Rd, #130, Las Vegas, NV 89148-5543 | 2006-11-06 |
| 1417979634 | Scott D Wilson | Marriage & Family Therapist | 2007 Cedar Ave, Manhattan Beach, CA 90266-2955 | 2006-07-24 |
| 1932154648 | Scott Paul Wilson | Dentist | 520 Sheldon St, Greendale, IN 47025-1549 | 2006-05-23 |
| 1659361103 | Scott Numo Wilson | Psychiatry & Neurology | 5 Longfellow Pl, Suite 213, Boston, MA 02114-2839 | 2005-10-26 |
| 1619974672 | Scott A Wilson | Internal Medicine | 106 Nate Whipple Hwy, Cumberland, RI 02864-1403 | 2005-07-06 |
| Street Address |
1891 N. GAFFEY STREET SUITE 219 & 221 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| 1194149195 | Helene Gail Mayer | Occupational Therapist | 100 South Citrus Avenue, Los Angeles, CA 90036 | 2014-02-11 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257210 | Brittany Doryce Ashe | Case Manager/Care Coordinator | 443 W 16th St, San Pedro, CA 90731-4815 | 2019-04-22 |
| 1972161149 | Carolina Nazario | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1801454087 | Beysi Lidia Orellana | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1902460207 | Cecelia Monzon | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-23 |
| 1558859660 | Krystal Michelle Cvitanovich | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-04-24 |
| 1124539820 | Roberta Lynn Venegas | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2017-10-20 |
| 1811424930 | Maureen Nunn | Case Manager/Care Coordinator | 235 W 9th St, San Pedro, CA 90731-3711 | 2017-05-19 |
| 1457887960 | Michelle Leon | Case Manager/Care Coordinator | 235 W 9th St, San Pedro, CA 90731-3711 | 2017-05-03 |
| 1467984807 | Dannia Hernandez | Case Manager/Care Coordinator | 1891 N Gaffey St Ste 221, San Pedro, CA 90731-1270 | 2017-04-03 |
| 1083162630 | North End Spinal Treatment | Case Manager/Care Coordinator | 1611 W 25th St, San Pedro, CA 90732-4301 | 2016-09-13 |
| Find all providers in SAN PEDRO | ||||
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| 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.