Wilshire Connected Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILSHIRE CONNECTED CARE

Practice address

277 South St Ste S
San Luis Obispo, CA 93401-5039

Phone

(800) 870-5920

Fax

(805) 329-5625

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Patricia C Ritchie

Title

Manager-Ceo

Phone

(805) 547-7025

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kahlua Sievert

  • Licensed Vocational Nurse
  • San Luis Obispo, CA
  • NPI 1114577715
  NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1104392885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST STE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-547-7025",
            "fax_number": "805-547-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST STE S",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015039",
            "telephone_number": "800-870-5920",
            "fax_number": "805-329-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE CONNECTED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER-CEO",
        "authorized_official_telephone_number": "805-547-7025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Williamson, DDS
• Heather Marie Willis, MPAP, PA-C
• Haley Nicole Willment, M.A. CCC-SLP
• Wilshire Community Services
• Wilshire Community Services
• Wilshire Health and Community Services, Inc
• Wilshire Health and Community Services, Inc.
• Camille Audrey Wilson
• Craig Michael Wilson
• Galen Wilson

• Family Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.