DR. SAMUEL ERIC WILSON (NPI# 1518065861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518065861 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL ERIC WILSON |
| Credential | MD |
| Practice Address |
101 The City Dr S Suite 810 City Tower Orange CA 92868-3201 |
| Mailing Address |
1436 Via Castilla Palos Verdes Estates CA 90274-2800 |
| Practice Telephone | 7144567246 |
| Practice Fax Number | 7144568205 |
| Mailing Telephone | 7144567246 |
| Mailing Fax Number | 7144568205 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
C28352 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935431 | Samuel Wilson | Internal Medicine | 170 Manning Drive 1st Floor Physician's Office Bldg, Chapel Hill, NC 27599-5368 | 2014-05-21 |
| 1376637652 | Samuel B Wilson | Internal Medicine | Diabetes Labs, 65 Landsdowne Street, Cambridge, MA 02138 | 2006-10-03 |
| 1912948019 | Samuel G Wilson | Emergency Medicine | 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 | 2006-06-09 |
| 1083110514 | Samuel Wilson | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2018-04-03 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1295072189 | Samuel Alan Wilson | Pharmacist | 911 Duluth Hwy, Lawrenceville, GA 30043-5320 | 2013-01-11 |
| 1477865194 | Samuel M. Wilson | Dermatology | 2320 Freeway Drive, Skagit Regional Clinics-riverbend, Mount Vernon, WA 98273 | 2010-07-10 |
| 1275763286 | Samuel Beringer Wilson | Counselor | 619 E 5th St, Los Angeles, CA 90013-2109 | 2009-07-24 |
| 1336360049 | Samuel A. Wilson | Pharmacist | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2007-05-01 |
| 1932240090 | Samuel Lamar Wilson | Psychiatry & Neurology | 1137 2nd St, #111, Santa Monica, CA 90403-5011 | 2007-02-10 |
| Street Address |
101 THE CITY DR S SUITE 810 CITY TOWER |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163126 | Melvin Leon Seard | Urology | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-10 |
| 1164022448 | Kwang Yeon Carol Lee | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-27 |
| 1679172092 | Ghazal Noory | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-10-19 |
| 1629676721 | Wendee H Montes-rodriguez | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-12 |
| 1295342152 | Norma Gabriela Orellana | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-09-24 |
| 1225642903 | Michelle Nguyen | Registered Nurse | 101 The City Dr S, Orange, CA 92868-3298 | 2020-09-01 |
| 1861017873 | Valerie Isaree Pooudomsak | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-06-15 |
| 1629692330 | Denise Gabriella Tafoya | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-29 |
| 1063034650 | Dai Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
| 1063034692 | Kaitlin Dempsey | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1013020411 | Douglas Albert Brownell | Surgery | 1140 W La Veta Ave Ste 850, Orange, CA 92868-4218 | 2006-08-17 |
| 1588083646 | Meena Archie | Surgery | 1140 W La Veta Ave Ste 850, Orange, CA 92868-4218 | 2014-04-15 |
| 1164786521 | Samuel Lo Chen | Surgery | 333 City Blvd W Ste 705, Orange, CA 92868-2950 | 2012-06-30 |
| 1740487347 | Isabella Jade Kuo | Surgery | 333 City Blvd W, Suite 1600, Orange, CA 92868-2903 | 2007-06-28 |
| 1982605986 | Timothy Harward | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1205837200 | Jeffrey Lawrence Ballard | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1770584534 | Daniel Preston Flanigan | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1770583056 | Stacey Cam Tien | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-07-28 |
| 1164429015 | Roy Masami Fujitani | Surgery | 333 City Blvd W, Suite 700, Orange, CA 92868-2903 | 2005-07-07 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on DR. SAMUEL ERIC 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.