Individual provider Active NPI

Christopher Wills, PA-C

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1073122412
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 E Cypress Ave
Redding, CA 96002-0162
Phone
(530) 722-1111
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 E Cypress Ave
Redding, CA 96002-0162

Mailing address

5864 N I St
San Bernardino, CA 92407-2563
Phone (909) 581-2716

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922002971 CA Practitioner - Physician Assistant 6709204894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

212 Coffee Rd
Suite 100
Bakersfield, CA 93309-1258

2400 K St
Bakersfield, CA 93301-4030
Phone (661) 885-9909

4040 California Ave
Bakersfield, CA 93309-1012
Phone (661) 336-2050

4871 White LN
Bakersfield, CA 93309-6375
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

9917 Olive Dr
Bakersfield, CA 93312-9729
Phone (661) 695-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58427CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Medical Group Inc CurrentSince Aug 2, 2020 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 1, 2020 Accepting new patients
Bakersfield Memorial Hospital PastSince Aug 2, 2020 Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

100 E Cypress Ave
Redding, CA 96002
Phone (530) 722-1111

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1073122412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5864 N I ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072563",
            "telephone_number": "909-581-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CYPRESS AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020162",
            "telephone_number": "530-722-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.