Individual provider Active NPI

Wilson Macale, REGISTERED NURSE

  • Psychiatric/Mental Health Registered Nurse
  • Santa Fe Springs, CA
National Provider Identifier
1396374922
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
771418 Issued in CA
Practice address
10330 Pioneer Blvd Ste 180
Santa Fe Springs, CA 90670-6012
Phone
(562) 347-2213
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 771418 CA Primary

Addresses

Primary practice location

10330 Pioneer Blvd Ste 180
Santa Fe Springs, CA 90670-6012

Mailing address

10544 Lyndora St
Norwalk, CA 90650-2139
Phone (562) 417-4334

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

State licenses

LicenseStateTypeSpecialty
771418CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1396374922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10544 LYNDORA ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502139",
            "telephone_number": "562-417-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 PIONEER BLVD STE 180",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706012",
            "telephone_number": "562-347-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALE",
        "first_name": "WILSON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "771418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.