Avery M Williams, PHLEBOTOMY, EMT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT58240 Issued in CA

Practice address

25096 Jefferson Ave Ste B-206
Murrieta, CA 92562-1705

Phone

(925) 321-6353

NPI assigned

Aug 28, 2019

Last updated

May 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infiniti Health

  • Home Health Agency
  • Murrieta, CA
  • NPI 1619504750
  NPD Authorized official
• Infiniti Medical Services, PC

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1871252536
  NPD Authorized official
• Yivory Healthcare Inc.

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1801623558
  Authorized official Same address or phone

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1386292878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25096 JEFFERSON AVE STE B-206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621705",
            "telephone_number": "925-321-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25096 JEFFERSON AVE STE B-206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621705",
            "telephone_number": "925-321-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41960 Davenport Way Unit B",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925628224",
            "country_code": "US",
            "telephone_number": "925-321-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AVERY",
        "middle_name": "M",
        "credential": "PHLEBOTOMY, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E113393",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT58240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H. Cherry MD, Inc.
• William H. Collins Jr (Apex Physical Therapy)
• William M. Kelly M.D., Inc.
• William Pearson (Pearson Counseling)
• William S. Hardee Jr. D.M.D., Inc. Friendly Dental Center
• Brielle Williams, M.A., CCC-SLP
• Brooke Lauren Williams
• Charles Williams, C.A.S. II
• Kaliyah Williams
• Kalysa Williams, OTR

• Phlebotomy Technician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.