Active NPI
Osman Wagilla
- Physician Assistant
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18417
- Practice address
- 2100 Powell St
Suite 900
Emeryville, CA 94608-1826 - Phone
- (510) 350-2600
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18417 | CA | Primary |
Addresses
Primary practice location
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Mailing address
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| Questcare Medical Services, PLLC | Physician Assistant | Current | Accepting new patients |
| Primecare Emergency Center - Arlington LLC | Past | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Nurse Practitioner
- Arlington, TX
- NPI 1497807713
Physician Assistant
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1376993857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1013081496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGILLA",
"first_name": "OSMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.