DR. BRIAN ROBERT WILSON (NPI# 1407838782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407838782 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ROBERT WILSON |
| Credential | M.D. |
| Practice Address |
2020 Sutter Pl Ste 203 Davis CA 95616-6201 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307505880 |
| Practice Fax Number | 5307505881 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A41052 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122269 | Brian A Wilson | Registered Nurse | 12801 Brookhurst St Unit 1118, Garden Grove, CA 92840-4864 | 2019-12-31 |
| 1265076376 | Brian Wilson | Registered Nurse | 729 Goldenrod Dr, Gardendale, AL 35071-2844 | 2019-10-31 |
| 1427536580 | Brian Wilson | Social Worker | 5136 Woolverton Ave, Baltimore, MD 21215-5135 | 2018-08-01 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| 1124407978 | Brian Wilson | Home Health Aide | 7464 Arapahoe Rd Ste B3, Boulder, CO 80303-1500 | 2015-05-27 |
| 1184012775 | Brian Wilson | Occupational Therapist | 6919 Nebo Hills Rd, Liberty, MO 64068-8504 | 2015-01-05 |
| 1780931329 | Brian Lee Wilson | Massage Therapist | 1840 Ne 104th Loop, #7, Vancouver, WA 98686-5676 | 2012-08-14 |
| 1508148644 | Brian Scott Wilson | Pharmacist | 10680 Torrington Ln, Highlands Ranch, CO 80126-7549 | 2011-09-14 |
| 1588952204 | Brian A. Wilson | Marriage & Family Therapist | 507 W Foothill Blvd # B, Monrovia, CA 91016-2021 | 2011-07-14 |
| 1417187931 | Brian Wilson | Registered Nurse | 315 Hudson St Fl 9, New York, NY 10013-1036 | 2009-07-17 |
| Street Address |
2020 SUTTER PL STE 203 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303312 | Paris Adora Maloof-bury | Registered Nurse | 2020 Sutter Pl Ste 203, Davis, CA 95616-6217 | 2018-07-20 |
| 1750419008 | Pamela Kay Higgins | Advanced Practice Midwife | 2020 Sutter Pl Ste 203, Davis, CA 95616-6217 | 2007-03-01 |
| 1467590240 | Pallavi Abhyankar Danforth | Specialist | 2020 Sutter Pl Ste 203, Davis, CA 95616 | 2007-02-02 |
| 1881678027 | Anne Stohrer | Obstetrics & Gynecology | 2020 Sutter Pl Ste 203, Davis, CA 95616-6217 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699982389 | Christinea Marie Bellin | Specialist | 2604 Hartley St, Davis, CA 95616-7632 | 2007-05-16 |
| 1730293309 | Sacramento Heart & Vascular | Specialist | 1111 Kennedy Pl Ste 1, Davis, CA 95616-1266 | 2006-08-19 |
| 1386694404 | Lawrence S Paikoff | Specialist | 1712 Picasso Ave, #c, Davis, CA 95616-0546 | 2006-05-11 |
| 1285619296 | Renuka Lakshminarayanan | Specialist | 3002 Breton Ave, Davis, CA 95616-2706 | 2005-12-13 |
| 1962948372 | Elyse Lauren Byrum | Specialist | 212 I St, Davis, CA 95616-4213 | 2017-01-09 |
| 1467906222 | Duane Robinson | Specialist | 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 | 2016-08-10 |
| 1417308321 | Permanente Medical Group | Specialist | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2016-06-22 |
| 1669858817 | Davis Urgent Care Inc. | Specialist | 4515 Fermi Pl, Suite 105, Davis, CA 95618-9410 | 2015-08-10 |
| 1891058947 | Stephanie J Lake | Specialist | One Shields Ave, Uc Davis Student Health and Couseling Services, Davis, CA 95616 | 2012-06-22 |
| 1700062916 | Lawrence S Paikoff, Md | Specialist | 1756 Picasso Ave, Ste. #e, Davis, CA 95618-0549 | 2008-01-17 |
| Find all providers in DAVIS | ||||
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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.