Active NPI
James Dana Wilson, MHRS
- Case Manager/Care Coordinator
- San Jose, CA
National Provider Identifier
1396977310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1993 McKee Rd Ste C
San Jose, CA 95116-1406 - Phone
- (408) 926-7923
- NPI assigned
- Aug 11, 2009
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1993 McKee Rd Ste C
San Jose, CA 95116-1406
Mailing address
1993 McKee Rd Ste C
San Jose, CA 95116-1406
Phone (408) 926-7923
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": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1396977310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 MCKEE RD STE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161406",
"telephone_number": "408-926-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1993 MCKEE RD STE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161406",
"telephone_number": "408-926-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "DANA",
"name_prefix": "Mr.",
"credential": "MHRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.