WILLIAM L. WILSON, M.D., INC. (NPI# 1568424687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568424687 |
| Entity Type | Organization |
| Organization Name | WILLIAM L. WILSON, M.D., INC. |
| Other Organization Name | CALIFORNIA PAIN AND SPINE CARE |
| Practice Address |
5565 Grossmont Center Dr Bldg. 3, Ste. 540 La Mesa CA 91942-3020 |
| Practice Telephone | 6194602700 |
| Practice Fax Number | 6194602702 |
| Mailing Telephone | 6194602700 |
| Mailing Fax Number | 6194602702 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | ROY CHARLES BROWNLOW (MD/OWNER) |
| Authorized Official Telephone | 7702527557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G44872 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G448721 | 05 | |
| CA | 00G448720 | 05 |
| Other Name | Type Code |
|---|---|
| California Pain and Spine Care | Doing Business As Name - Organization |
| Street Address |
5565 GROSSMONT CENTER DR BLDG. 3, STE. 540 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593756 | Robert W Foster | Internal Medicine | 5565 Grossmont Center Dr, Suite 1-105, La Mesa, CA 91942-3020 | 2005-07-21 |
| 1780227694 | Nassir A Azimi, Md, A Professional Corporation | Internal Medicine | 5565 Grossmont Center Dr, Bldg 3, Suite 444, La Mesa, CA 91942-3020 | 2019-10-23 |
| 1831546043 | Shawncey Mcpherson | Physician Assistant | 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942-3020 | 2016-05-17 |
| 1669858361 | Jennifer Mcdonald | Nurse Practitioner | 5565 Grossmont Center Dr, Building 3, Ste 525, La Mesa, CA 91942-3020 | 2015-08-04 |
| 1184009458 | Biosolutions Clinical Research Center | Clinic/Center | 5565 Grossmont Center Dr, Building 3, Suite 256, La Mesa, CA 91941 | 2015-07-28 |
| 1104238682 | Shota Gurtch, M.d., Inc., A Professional Corporation | Family Medicine | 5565 Grossmont Center Dr, Bld 1 Ste 210, La Mesa, CA 91942-3020 | 2014-06-02 |
| 1790102127 | Randall W. Stettler, Dds, Inc | Dentist | 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 | 2014-03-24 |
| 1760723654 | Tms Therapeutics | Clinic/Center | 5565 Grossmont Center Dr, Suite 357, La Mesa, CA 91942-3020 | 2013-03-03 |
| 1043559859 | Dr. Karen E. Anderson, Apc | Podiatrist | 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942-3020 | 2013-02-14 |
| 1013269182 | Ronald M Johnson Md Medical Corp | Surgery | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1972598316 | William Le Roy Wilson | Pain Medicine | 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942-3020 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| 1841615762 | Peyman Gravori | Pain Medicine | 16311 Ventura Blvd Ste 1065-b, Encino, CA 91436-2124 | 2014-02-28 |
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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.