Individual provider Active NPI

James Darnell Williams Jr., FNP-C, MSN, RN, CEN

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1164293148
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027600 Issued in CA
Practice address
1665 S Imperial Ave Ste B
El Centro, CA 92243-4247
Phone
(422) 318-1014
NPI assigned
Jan 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027600 CA Primary

Addresses

Primary practice location

1665 S Imperial Ave Ste B
El Centro, CA 92243-4247

Mailing address

1665 S Imperial Ave Ste B
El Centro, CA 92243-4247
Phone (422) 318-1014

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95027600CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Dec 8, 2024 Accepting new patients
Imperial Valley Family Care Medical Group, Apc PastSince Dec 8, 2024 Accepting new patients

Locations

1665 S Imperial Ave
Ste B
El Centro, CA 92243
Phone (760) 312-5900

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

Organizations & group practices 2

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1164293148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 S IMPERIAL AVE STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434247",
            "telephone_number": "422-318-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 S IMPERIAL AVE STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434247",
            "telephone_number": "422-318-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "DARNELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C, MSN, RN, CEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.