Active NPI
Shawn Wilson, PHD
- Health Educator
- Pasadena, CA
National Provider Identifier
1063201754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 98 S Los Robles Ave
Pasadena, CA 91101-2433 - Phone
- (626) 848-4152
- NPI assigned
- May 1, 2025
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
98 S Los Robles Ave
Pasadena, CA 91101-2433
Mailing address
98 S Los Robles Ave
Pasadena, CA 91101-2433
Other practice location 1
1700 Fasana Rd
Duarte, CA 91010-2863
Phone (626) 848-4152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1063201754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 S LOS ROBLES AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 S LOS ROBLES AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012433",
"telephone_number": "626-848-4152"
}
],
"practiceLocations": [
{
"address_1": "1700 Fasana Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910102863",
"country_code": "US",
"telephone_number": "626-848-4152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "SHAWN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.