Active NPI
James Darnell Williams Jr., FNP-C, MSN, RN, CEN
- Family Nurse Practitioner
- El Centro, CA
National Provider Identifier
1164293148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95027600 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Valley Family Care Medical Group Apc | Current | Accepting new patients | |
| Imperial Valley Family Care Medical Group, Apc | Past | 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.
-
- General Practice Physician
- Imperial, CA
- NPI 1275581894
-
- Cardiac Rehabilitation Registered Nurse
- Imperial, CA
- NPI 1750112587
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.