Keith Garnett Wilson (NPI# 1255776258, PAC ID# 2264781566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1255776258 |
| PAC ID by PECOS | 2264781566 |
| Professional Enrollment ID | I20180820003304 |
| Full Name | Keith Garnett Wilson |
| Organization Legal Name | CEP AMERICA - CALIFORNIA |
| Address |
4001 J St Sacramento CA 95819-3626 |
| Phone Number | 9164534545 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6103739131 |
| Number of Group Practice Members | 801 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050516 | MERCY SAN JUAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4001 J St, Sacramento, CA 95819-3626 | 9164534545 | CEP AMERICA - CALIFORNIA |
| 7500 Hospital Dr, Sacramento, CA 95823-5403 | 9164233000 | CEP AMERICA - CALIFORNIA |
| Organization Legal Name | CEP AMERICA - CALIFORNIA |
| Physicians | 891 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Gee | Emergency Medicine | Cep America - California | 6501 Coyle Ave, Carmichael, CA 95608-0306 |
| Michelle Denise Septer | Nurse Practitioner | Cep America - California | 1303 E Herndon Ave, Fresno, CA 93720-3309 |
| Vincent H Lam | Physician Assistant | Cep America - California | 1600 N Roase Ave, Oxnard, CA 93030-3722 |
| Christine H Chang | Emergency Medicine | Cep America - California | 2309 Antonio Ave, Camarillo, CA 93010-1414 |
| Erik Akopian | Emergency Medicine | Cep America - California | 207 W Legion Rd, Brawley, CA 92227-7780 |
| Jon Ryan Haynes | Emergency Medicine | Cep America - California | 726 4th St, Marysville, CA 95901-5656 |
| Ramandeep Dhillon | Emergency Medicine | Cep America - California | 18300 Us Hwy 18, Apple Valley, CA 92307-2206 |
| Christopher A Rafie | Emergency Medicine | Cep America - California | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 |
| Michael Fargusson | Emergency Medicine | Cep America - California | 4001 J St, Sacramento, CA 95819-3626 |
| Matthew Mehne | Emergency Medicine | Cep America - California | 27300 Iris Ave, Moreno Valley, CA 92555-4802 |
| Street Address |
4001 J ST |
| City | SACRAMENTO |
| State | CA |
| Zip | 95819-3626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Fargusson | Emergency Medicine | Cep America - California | 4001 J St, Sacramento, CA 95819-3626 |
| Sean T Thiers | Certified Registered Nurse Anesthetist (crna) | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| Wonjae E Choi | Anesthesiology | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| Ronald G Jan | Vascular Surgery | 4001 J St, Sacramento, CA 95819-3626 | |
| Ernesto S Quinto | Internal Medicine | Ernesto S. Quinto, D.o., Inc | 4001 J St, Sacramento, CA 95819-3626 |
| Xi Z Damrell | Emergency Medicine | Cep America - California | 4001 J St, Sacramento, CA 95819-3626 |
| Margaret M Brannigan | Anesthesiology | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| Jerad Morris | Certified Registered Nurse Anesthetist (crna) | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| Kaitlin Jean Nicoletti | Anesthesiology | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| David Raybould | Anesthesiology | Cep America - Anesthesia PC | 4001 J St, Sacramento, CA 95819-3626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Macdonald | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Risa I Macdonald | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Catherine Mascal | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Nathan Hatton | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Kelley Renee Kukis | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Mary Elizabeth Horner | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Lawrence Bass | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Margaret Parsons | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Brian M Morrow | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 3940 H St, Apt 206, Sacramento, CA 95819-2759 |
| Jean Claude L Veille | Obstetrics/gynecology | Obstetrix Medical Group of Sacramento PC | 5151 F St, Sacramento, CA 95819-3223 |
| Find all physicians in zip 95819 | |||
| City | SACRAMENTO |
| Zip Code | 95819 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SACRAMENTO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Keith Garnett Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.