Wilshire Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WILSHIRE COMMUNITY SERVICES

Practice address

285 South St
Suite J
San Luis Obispo, CA 93401-5037

Phone

(805) 547-7025

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Traci Mello

Title

Director of Senior Service

Phone

(805) 547-7025

Specialties & licenses 1

Addresses

Tax ID family

Wilshire Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilshire Community Services

  • Community/Behavioral Health Agency
  • San Luis Obispo, CA
  • NPI 1568858330
  NPD tax ID

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1215384706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST",
            "address_2": "SUITE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-547-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SOUTH ST",
            "address_2": "SUITE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015037",
            "telephone_number": "805-547-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MELLO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "DIRECTOR OF SENIOR SERVICE",
        "authorized_official_telephone_number": "805-547-7025"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Carolyn Williamson I, LMFT
• Douglas Logan Williamson, DNP
• Eric Williamson, DDS
• Heather Marie Willis, MPAP, PA-C
• Haley Nicole Willment, M.A. CCC-SLP
• Wilshire Community Services
• Wilshire Connected Care
• Wilshire Health and Community Services, Inc
• Wilshire Health and Community Services, Inc.
• Camille Audrey Wilson

• Case Management Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.