EDWARD WILSON (NPI# 1740668995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740668995 |
| Entity Type | Individual |
| Full Name | EDWARD WILSON |
| Practice Address |
1955 Long Beach Blvd Long Beach CA 90806-5501 |
| Mailing Address |
100 W Broadway Suite 5010 Long Beach CA 90802-4431 |
| Practice Telephone | 5623202426 |
| Mailing Telephone | 5622851330 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1295944189 | Edward W. Wilson | Dentist | 30 E 60th St Rm 302, New York, NY 10022-7102 | 2007-05-21 |
| 1952462756 | Edward Wilson | Dentist | 23680 Us Highway 19 N, Clearwater, FL 33765-1571 | 2006-12-13 |
| 1417030685 | Edward D Wilson | Chiropractor | 4500 Hillcrest, #160, Frisco, TX 75035 | 2006-10-23 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1194837500 | Edward S Wilson IIi | Psychologist | 1518 Savannah Rd, Lewes, DE 19958 | 2006-08-31 |
| 1376921809 | Edward Todd Wilson Jr. | Student in an Organized Health Care Education/Training Program | 462 Grider St, Erie County Medical Center: David K. Miller Building, Buffalo, NY 14215-3021 | 2015-05-17 |
| 1619286713 | Edward W Wilson | Counselor | 4020 Palos Verdes Dr N, Suite 201, Rolling Hills Estates, CA 90274-2525 | 2010-10-07 |
| 1558484568 | Edward John Wilson | Dentist | 26365 Carmel Rancho Blvd, A, Carmel, CA 93923-8744 | 2007-04-06 |
| 1992826861 | Edward Wilson | Specialist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-02 |
| Street Address |
1955 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195369 | Chinyelu A. Eze | Rehabilitation Practitioner | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2007-04-20 |
| 1518585264 | Steven Brian Zwart | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2020-07-09 |
| 1073972907 | Puja Khatri | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2016-02-20 |
| 1568827111 | Dominic Matthias Dougherty | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-12-28 |
| 1114392602 | Daniel Jonathan Daneri | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-12-09 |
| 1174906341 | David Parada | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-07-07 |
| 1851786354 | Thomas Buchanan | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-04-01 |
| 1568850584 | Teela Hernandez | Case Manager/Care Coordinator | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2014-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427393131 | For The Child, Inc. | Voluntary or Charitable | 4565 California Ave, Long Beach, CA 90807-1507 | 2012-12-06 |
| 1144354275 | For The Child, Inc. | Voluntary or Charitable | 4001 Long Beach Blvd, Long Beach, CA 90807-2616 | 2007-03-14 |
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|---|---|---|---|---|
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| 1407406630 | Planned Parenthood of Pasadena, Inc. | Voluntary or Charitable | 5903 N Figueroa St, Highland Park, CA 90042-4229 | 2019-09-19 |
| 1780237180 | Adapt Movement Inc | Voluntary or Charitable | 2732 Loker Ave W, Carlsbad, CA 92010-6603 | 2019-07-24 |
| 1598226870 | James Ward Delameter | Voluntary or Charitable | 303 Dry Creek Rd, Healdsburg, CA 95448-9705 | 2019-03-28 |
| 1639635154 | Love Focus International Association Lfia | Voluntary or Charitable | 372 Buena Vista Ct, Merced, CA 95348-3033 | 2019-02-20 |
| 1699242495 | Sow A Seed Community Foundation | Voluntary or Charitable | 42 W 8th St, Tracy, CA 95376-4123 | 2018-10-30 |
| 1467927855 | Priscilla Hebert | Voluntary or Charitable | 1488 Sunset Cliffs Blvd, San Diego, CA 92107-3848 | 2018-10-11 |
| 1164907234 | Impact Recovery & Psychotherapy | Voluntary or Charitable | 28202 Cabot Rd Ste 373, Laguna Niguel, CA 92677-1222 | 2018-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on EDWARD 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.