BYRON ERIC WILSON (NPI# 1992736367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992736367 |
| Entity Type | Individual |
| Full Name | BYRON ERIC WILSON |
| Credential | M.D. |
| Practice Address |
20055 Lake Chabot Rd #130 Castro Valley CA 94546 |
| Mailing Address |
5725 W Las Positas Blvd #100 Pleasanton CA 94588-4054 |
| Practice Telephone | 5108880657 |
| Practice Fax Number | 5108864532 |
| Mailing Telephone | 9257348130 |
| Mailing Fax Number | 9252250121 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
G72444 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
G72444 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G724440 | 05 | |
| RAILROAD MEDICARE | 900002477 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 440 Broadway St Ste 35, Redwood City, CA 940633123 | 6504986000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699077677 | Byron Wilson | Pharmacist | 475 M St, Crescent City, CA 95531-4129 | 2010-11-24 |
| Street Address |
20055 LAKE CHABOT RD #130 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572760 | Michael Edward Nickas | Urology | 20055 Lake Chabot Rd, #100, Castro Valley, CA 94546-5331 | 2005-10-21 |
| 1225571771 | University Healthcare Alliance | Internal Medicine | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2016-11-30 |
| 1346656832 | Connie Hwa Chen | Registered Nurse | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2014-07-07 |
| 1427481522 | Peter Adamczyk, Md, Inc. | Psychiatry & Neurology | 20055 Lake Chabot Rd, Suite 300, Castro Valley, CA 94546-5331 | 2013-08-13 |
| 1366795395 | Tara Marie Jordan | Physician Assistant | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2012-10-15 |
| 1376802579 | Thomas R Powers Md. Inc | Psychiatric Hospital | 20055 Lake Chabot Rd, Suite 350, Castro Valley, CA 94546-5331 | 2012-05-08 |
| 1467731828 | Gene-yuan Chang | Internal Medicine | 20055 Lake Chabot Rd, 230, Castro Valley, CA 94546-5331 | 2011-08-16 |
| 1750681714 | Joanna Randolph | Nurse Practitioner | 20055 Lake Chabot Rd, Suite 230, Castro Valley, CA 94546-5331 | 2010-10-25 |
| 1568696987 | Doctors Medical Surgical Associates | Specialist | 20055 Lake Chabot Rd, Suite 200, Castro Valley, CA 94546-5331 | 2009-05-13 |
| 1407051584 | Daniel B. Allen, M.d., Inc. | Specialist | 20055 Lake Chabot Rd, Suite 240, Castro Valley, CA 94546-5331 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
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| 1366845166 | Dr Shahrooz Eshaghian Md Inc | Internal Medicine | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | 2014-10-07 |
| 1801214903 | Varsha Tulpule | Internal Medicine | 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 | 2014-04-04 |
| 1912321407 | Jennifer Sanbar | Internal Medicine | 2640 Montrose Ave, Montrose, CA 91020-1312 | 2014-02-05 |
| 1053654467 | Pratik Multani | Internal Medicine | 6293 Belmont Trail Ct, San Diego, CA 92130-6819 | 2013-04-03 |
| 1689928533 | Michael Wayne Saville | Internal Medicine | 1811 Aston Ave, Carlsbad, CA 92008-7396 | 2012-10-30 |
| 1396090106 | Ijaz I Arshad Md Inc. | Internal Medicine | 2433 Marshall Rd, Imperial, CA 92251-9599 | 2012-07-17 |
| 1013278811 | Ann Margaretha Lowe | Internal Medicine | 420 Cambridge Ave, Unit 3, Palo Alto, CA 94306-1507 | 2012-06-07 |
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1821367467 | Jonathan Peter Schechter | Internal Medicine | 3823 Greenview Dr, El Dorado Hills, CA 95762-5218 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on BYRON ERIC 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.