Individual provider Active NPI

Rochelle L Wilson, DO

  • Family Medicine Physician
  • Ojai, CA
National Provider Identifier
1063514115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5012 Issued in CA
Practice address
1202 Maricopa Hwy
Ste C
Ojai, CA 93023-3129
Phone
(805) 640-0068
Fax
(805) 640-1749
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5012 CA Primary

Addresses

Primary practice location

1202 Maricopa Hwy
Ste C
Ojai, CA 93023-3129

Mailing address

1202 Maricopa Hwy
Ste C
Ojai, CA 93023-3129
Phone (805) 640-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000321 CA Practitioner - Family Practice 1951338680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5012CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Oct 1, 2016 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2016 Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

1202 Maricopa Hwy
Ste D
Ojai, CA 93023
Phone (805) 646-2944

1320 Maricopa Hwy
Ste D
Ojai, CA 93023
Phone (805) 646-0167

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: rochellewilson@mtmg.allscriptsdirect.net
  • Direct secure messaging: rochellewilson@cfh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063514115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MARICOPA HWY",
            "address_2": "STE C",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233129",
            "telephone_number": "805-640-0068",
            "fax_number": "805-640-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MARICOPA HWY",
            "address_2": "STE C",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233129",
            "telephone_number": "805-640-0068",
            "fax_number": "805-640-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROCHELLE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.