MISS CRISTINA AMBOS WILSON (NPI# 1649742479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649742479 |
| Entity Type | Individual |
| Full Name | MISS CRISTINA AMBOS WILSON |
| Practice Address |
108 Holly Way Pismo Beach CA 93449-3221 |
| Practice Telephone | 8059046592 |
| Practice Fax Number | 8059046593 |
| Mailing Telephone | 8059046592 |
| Mailing Fax Number | 8059046593 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
405801964 | CA | Behavioral Health & Social Service Providers |
| Street Address |
108 HOLLY WAY |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708334 | Wright Conscious Counseling, A Psychological Corporation | Psychologist | 26895 Aliso Creek Rd Ste B160, Aliso Viejo, CA 92656-5301 | 2019-12-27 |
| 1720632631 | Efren Esparza | Psychologist | 525 Cabrillo Park Dr Ste 300525, Santa Ana, CA 92701-5017 | 2019-07-29 |
| 1871097311 | Chelsea By The Sea | Psychologist | 10211 Kukui Dr, Huntington Beach, CA 92646-2518 | 2018-03-20 |
| 1033636501 | Khachik Petrosyan | Psychologist | 1225 Oakridge Dr, Glendale, CA 91205-3412 | 2017-08-25 |
| 1891151213 | Shyma El Sayed | Psychologist | 1029 H St, 403, Sacramento, CA 95814-2847 | 2016-01-14 |
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1669864302 | T. Adelstein, Ph.d., Psychologist, P.C. | Psychologist | 150 Morning Sun Ave, Mill Valley, CA 94941-3507 | 2015-03-03 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1619399052 | Kerry Hubel | Psychologist | 480 N 1st St, San Jose, CA 95112-4043 | 2014-01-18 |
| 1306192570 | Amanda R. W. Steiner | Psychologist | 5060 Shoreham Pl Ste 200, San Diego, CA 92122-5977 | 2012-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on MISS CRISTINA AMBOS 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.