CORY M WILSON (NPI# 1689648966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689648966 |
| Entity Type | Individual |
| Full Name | CORY M WILSON |
| Credential | MD |
| Practice Address |
27716 Wilderness Pl Castaic CA 91384-4117 |
| Practice Telephone | 6612003581 |
| Practice Fax Number | 6612003581 |
| Mailing Telephone | 6612003581 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 22843 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47042628500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136628 | Cory Wilson | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-09-04 |
| 1336643311 | Cory Robert Wilson | Chiropractor | 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 | 2018-03-22 |
| 1215472196 | Cory Wilson | Marriage & Family Therapist | 600 N 130th St, Seattle, WA 98133-7946 | 2016-12-30 |
| 1073630448 | Cory Wilson | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2007-03-23 |
| 1831137694 | Cory A Wilson | Emergency Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2006-06-03 |
| Street Address |
27716 WILDERNESS PL |
| City | CASTAIC |
| State | CA |
| Zip Code | 91384-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972009892 | Valencia Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 27741 Wakefield Rd, Castaic, CA 91384 | 2018-03-30 |
| 1861852147 | Stephen Ashor | Specialist | 31318 Blue Sky Way, Castaic, CA 91384 | 2016-03-01 |
| 1962833467 | Miten Shah | Pharmacist | 29928 Muledeer Ln., Castaic, CA 91384 | 2013-12-09 |
| 1245583749 | Castaic Urgent Care, Inc. | Urology | 31905 Castaic Road, Castaic, CA 91384 | 2012-10-22 |
| 1023148533 | George W Ekins Dds Inc | Dentist | 31886 N Castaic Rd, Castaic, CA 91384 | 2007-03-06 |
| 1114322328 | Mi Bella Birth | General Acute Care Hospital | 27840 Villa Canyon Rd, Castaic, CA 91384 | 2014-10-30 |
| 1174891329 | Betty Najarian | Pharmacist | 27983 Sloan Canyon Rd, Castaic, CA 91384 | 2011-12-02 |
| 1942423918 | Castaic Dental Center | Dentist | 31886 N Castaic Rd, Castaic, CA 91384 | 2007-04-10 |
| 1063803351 | Cromwell Home | Assisted Living Facility | 29536 Cromwell Ave, Val Verde, CA 91384-2410 | 2015-02-09 |
| 1811979347 | Fariba Mason | Nurse Practitioner | 30257 San Martinez Rd, Val Verde, CA 91384-2472 | 2005-11-18 |
| Find all providers in zip 91384 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134108 | Robert Rene Gosselin | Emergency Medicine | 14017 Banner Mtn Lookout Rd, Nevada City, CA 95959-9657 | 2020-11-06 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| 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.