Individual provider Active NPI

William M Wansa, MD

  • Emergency Medicine Physician
  • Coronado, CA
National Provider Identifier
1376596312
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G50191 Issued in CA
Practice address
250 Prospect PL
Coronado, CA 92118-1943
Phone
(619) 522-3722
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0080374 FL
Emergency Medicine Physician 207P00000X G50191 CA Primary

Addresses

Primary practice location

250 Prospect PL
Coronado, CA 92118-1943

Mailing address

PO Box 28247
Tempe, AZ 85285-8247
Phone (480) 967-6500

Other identifiers 1

IdentifierTypeStateIssuer
259748900MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0080374FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Emergency Medical Services Emergency Medicine Past Accepting new patients
Emergency Physicians of St. Johns County Emergency Medicine Past Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Cobblestone Emergency Physicians Emergency Medicine Past Accepting new patients
Sunset Emergency Physicians LLC Emergency Medicine PastSince Aug 17, 2025 Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 7

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1376596312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28247",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852858247",
            "telephone_number": "480-967-6500",
            "fax_number": "480-967-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PROSPECT PL",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181943",
            "telephone_number": "619-522-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSA",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0080374",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G50191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259748900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.