William Loushion McCollum

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

831 Gulf Ave
Wilmington, CA 90744-4201

Phone

(424) 533-8484

NPI assigned

Sep 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1255972303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 GULF AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 GULF AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444201",
            "telephone_number": "424-533-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Gulf Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907444201",
            "country_code": "US",
            "telephone_number": "424-533-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831. N. Gulf Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907444201",
            "country_code": "US",
            "telephone_number": "424-533-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "WILLIAM",
        "middle_name": "LOUSHION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDK",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Martin, LVN
• David Martinez, ATC
• Robert MC Gee
• Hope Marie McCallister, C.A.D.C.
• Ann Margaret McClure, R.D.A.
• Fantaye Merid, M.D.
• Maria Yolanda Meza, PHARMD
• Thecla N. Mgbojirikwe, M.D.
• Katrina R Millet, LCSW, PHD
• Jimmy Dion Mitchell Jr.

• Attendant Care Provider in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.