Active NPI
Wesley Allen Norberg
- Peer Specialist
- Marysville, CA
National Provider Identifier
1497467690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-QVRJDH
- Practice address
- 201 D St Ste R&S
Marysville, CA 95901-5952 - Phone
- (530) 702-0088
- NPI assigned
- Dec 19, 2022
- Last updated
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-QVRJDH | CA | Primary |
Addresses
Primary practice location
201 D St Ste R&S
Marysville, CA 95901-5952
Mailing address
639 Reeves Ave
Yuba City, CA 95991-3938
Phone (530) 524-2530
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 |
|---|---|---|---|
| MPSS-QVRJDH | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1497467690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 REEVES AVE",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913938",
"telephone_number": "530-524-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 D ST STE R&S",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015952",
"telephone_number": "530-702-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORBERG",
"first_name": "WESLEY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-QVRJDH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
- Kameron Nightingale
- Amarprit Singh Nijjar, PHARM.D.
- Amanda Belle Nolan
- Kathryn Jane Noland, MSPT
- Jane Norberg
- North State Health Clinic, Inc. (Children's Clinic)
- North Valley Radiation Oncology Medical Group Inc
- North Valley Radiation Oncology Medical Group Inc
- Nathan David North
- Bruce Richard Numoto, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.