Active NPI
Richard Jack Wilton, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1376476341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G42945
- Practice address
- 2347 Kerwood Ave Apt 101
Los Angeles, CA 90064-2646 - Phone
- (412) 522-3656
- NPI assigned
- Jun 8, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | G42945 | CA | |
| Pediatrics Physician | 208000000X | G42945 | CA | Primary |
Addresses
Primary practice location
2347 Kerwood Ave Apt 101
Los Angeles, CA 90064-2646
Mailing address
2347 Kerwood Ave Apt 101
Los Angeles, CA 90064-2646
Phone (412) 522-3656
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1376476341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2347 KERWOOD AVE APT 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642646",
"telephone_number": "412-522-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2347 KERWOOD AVE APT 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642646",
"telephone_number": "412-522-3656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTON",
"first_name": "RICHARD",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "CA",
"license": "G42945",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G42945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.