Organization Active NPI

Wilson'S Abbey Medi Cab

  • Non-emergency Medical Transport (VAN)
  • Exeter, CA
National Provider Identifier
1154495885
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WILSON'S ABBEY MEDI CAB
Practice address
160 S E St
Exeter, CA 93221-1731
Phone
(559) 594-4716
Fax
(559) 592-4953
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Peggy Ann Wilson
Title
Owner
Phone
(559) 594-4716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

160 S E St
Exeter, CA 93221-1731

Mailing address

PO Box 291
Exeter, CA 93221-0291
Phone (559) 594-4716

Other identifiers 1

IdentifierTypeStateIssuer
MTN01114FMedicaidCA

National Provider Directory

National Provider Directory

Locations

160 S E St
Exeter, CA 93221
Phone (559) 594-4716

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1154495885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932210291",
            "telephone_number": "559-594-4716",
            "fax_number": "559-592-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S E ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211731",
            "telephone_number": "559-594-4716",
            "fax_number": "559-592-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON'S ABBEY MEDI CAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-594-4716"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01114F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.