Organization Active NPI

Christopher a. Wills, MD, a Medical Corporation

  • Orthopaedic Surgery Physician
  • Orange, CA
National Provider Identifier
1255566469
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G44871 Issued in CA
Legal business name
CHRISTOPHER A. WILLS, MD, A MEDICAL CORPORATION
Practice address
725 W la Veta Ave
Suite 260
Orange, CA 92868-4403
Phone
(714) 639-0760
Fax
(714) 771-5194
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Christopher Wills, MD
Title
Owner
Phone
(714) 639-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G44871 CA Primary

Addresses

Primary practice location

725 W la Veta Ave
Suite 260
Orange, CA 92868-4403

Mailing address

725 W la Veta Ave
Suite 260
Orange, CA 92868-4403
Phone (714) 639-0760

Other identifiers 1

IdentifierTypeStateIssuer
00G4484710MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1255566469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE",
            "address_2": "SUITE 260",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684403",
            "telephone_number": "714-639-0760",
            "fax_number": "714-771-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE",
            "address_2": "SUITE 260",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684403",
            "telephone_number": "714-639-0760",
            "fax_number": "714-771-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER A. WILLS, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-639-0760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G44871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G4484710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.