HAROLD T WILSON (NPI# 1619960457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619960457 |
| Entity Type | Individual |
| Full Name | HAROLD T WILSON |
| Credential | MD |
| Practice Address |
16063 Vanowen St Van Nuys CA 91406-4810 |
| Practice Telephone | 8187859989 |
| Practice Fax Number | 8187853330 |
| Mailing Telephone | 8187859989 |
| Mailing Fax Number | 8187853330 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2013-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A 38694 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
9701199 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1619960457 | 05 | |
| TRICARE | 1619960457 | 01 | |
| NC | 5910044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699731695 | Harold Winston Wilson Jr. | Pharmacist | 198 Ambriar Plaza S Main St, Amherst, VA 24521 | 2006-04-26 |
| 1801005905 | Harold Wallace Wilson | Dentist | 840 Kenwood Ave, Slingerlands, NY 12159-9668 | 2007-05-22 |
| 1679583124 | Harold Andrew Wilson Jr. | Internal Medicine | 2022 Brookwood Medical Ctr Dr, Acc Suite 310, Birmingham, AL 35209-6808 | 2006-08-08 |
| 1235163064 | Harold O Wilson | Counselor | 1375 Gilway Extension, Holly Hill, SC 29059 | 2006-07-10 |
| Street Address |
16063 VANOWEN ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396052 | Nancy Rosenblum | Pediatrics | 1237 Lords Way, Tahoe Vista, CA 96148-0334 | 2012-08-28 |
| 1063711067 | Kelly Marie Ochoa | Pediatrics | 1865 Herndon Ave Ste K616, Clovis, CA 93611-6163 | 2011-03-16 |
| 1598083255 | Michael Wing-ming Chan | Pediatrics | 1010 W La Veta Ave Ste 755, Orange, CA 92868-4306 | 2010-05-05 |
| 1700092426 | Nelson H Bansil | Pediatrics | 1310 W Stewart Dr Ste 212, Orange, CA 92868-3837 | 2007-05-16 |
| 1790991719 | Todd Pou-yen Chang | Pediatrics | 4650 W Sunset Blvd Msc #113, Los Angeles, CA 90027-6062 | 2007-05-15 |
| 1972523009 | Joyce Arpilleda | Pediatrics | 3020 Children's Way, Mc 5075, San Diego, CA 92123-4223 | 2006-07-20 |
| 1477572048 | Laura F Whitten | Pediatrics | 845 Gregory Lane, Suite 203, Plesant Hill, CA 94523 | 2006-07-18 |
| 1689612830 | Seema Shyam Mishra | Pediatrics | 3020 Childrens Way # Mc5075, San Diego, CA 92123-4223 | 2006-06-02 |
| 1366066680 | Drbar Apc. | Pediatrics | 2865 E Coast Hwy Ste 150, Corona Del Mar, CA 92625-2256 | 2020-06-02 |
| 1205339918 | Lauren Mills | Pediatrics | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
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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.