Active NPI
Ryezeir Wilkins
- Driver
- Temecula, CA
National Provider Identifier
1396428579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- F4602292
- Practice address
- 28999 Old Town Front St Ste 203
Temecula, CA 92590-5806 - Phone
- (619) 721-7819
- NPI assigned
- Aug 14, 2023
- Last updated
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F4602292 | CA | Primary |
Addresses
Primary practice location
28999 Old Town Front St Ste 203
Temecula, CA 92590-5806
Mailing address
28999 Old Town Front St Ste 203
Temecula, CA 92590-5806
Phone (619) 721-7819
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
| License | State | Type | Specialty |
|---|---|---|---|
| F4602292 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2B Medical | Current | Accepting new patients |
Locations
28999 Old Town Front St
Ste 203
Temecula, CA 92590
Phone (619) 721-7819
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Temecula, CA
- NPI 1285497446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1396428579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28999 OLD TOWN FRONT ST STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905806",
"telephone_number": "619-721-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28999 OLD TOWN FRONT ST STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905806",
"telephone_number": "619-721-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "RYEZEIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-14",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "F4602292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.