Individual provider Active NPI

Zipporah Wilson, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1205424678
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030808 Issued in CA
Practice address
1008 W Avenue M14 Ste a
Palmdale, CA 93551-1441
Phone
(661) 228-0811
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030808 CA Primary

Addresses

Primary practice location

1008 W Avenue M14 Ste a
Palmdale, CA 93551-1441

Mailing address

3710 Neola Way
Lancaster, CA 93536-1441
Phone (256) 541-0448

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
I20241009002859 CA Practitioner - Nurse Practitioner 9830620202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

1656 W Ave J
Lancaster, CA 93534-2814
Phone (909) 289-4075

5121 Stockdale Hwy
Bakersfield, CA 93309-2656
Phone (661) 868-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030808CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern CurrentSince Nov 30, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
County of Kern Psychiatric/Mental Health CurrentSince Nov 30, 2024 Accepting new patients
Thriveworks Clinical - California PC CurrentSince Aug 14, 2025 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669

8100 California City Blvd
California City, CA 93505
Phone (760) 979-1787

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

2480 Hilborn Rd
Ste 101
Fairfield, CA 94534
Phone (347) 835-8230

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

4902 Irvine Center Dr
Ste 203
Irvine, CA 92604
Phone (434) 300-3037

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

2025 Forest Ave
Ste 5
San Jose, CA 95128
Phone (209) 689-2669

17310 Bear Valley Rd
Ste B101
Victorville, CA 92395
Phone (760) 660-6798

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1205424678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 NEOLA WAY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361441",
            "telephone_number": "256-541-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W AVENUE M14 STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511441",
            "telephone_number": "661-228-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZIPPORAH",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.