The Physicians Medical Trials Network

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE PHYSICIANS MEDICAL TRIALS NETWORK

Practice address

1881 Meeks Bay Dr
Chula Vista, CA 91913-1651

Phone

(619) 656-5444

Fax

(619) 656-5444

NPI assigned

May 30, 2012

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Joseph Wilson, M.D.

Title

Principle Partner

Phone

(619) 656-5444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1467713107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 MEEKS BAY DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131651",
            "telephone_number": "619-656-5444",
            "fax_number": "619-656-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 MEEKS BAY DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131651",
            "telephone_number": "619-656-5444",
            "fax_number": "619-656-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIANS MEDICAL TRIALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRINCIPLE PARTNER",
        "authorized_official_telephone_number": "619-656-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.