Katia Wilder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12559 Issued in CA

Practice address

Oroville Hospital Ed
2767 Olive Hwy
Oroville, CA 95966

Phone

(530) 533-8500

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longs Peak Emergency Physicians, PC

  • Emergency Medicine Physician
  • Longmont, CO
  • NPI 1215910146
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508062241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7362",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959277362",
            "telephone_number": "530-534-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OROVILLE HOSPITAL ED",
            "address_2": "2767 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-533-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "KATIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "12559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Whitehead
• Andrea Roslyn Whitted
• Chase Alexander Whittington
• Kathleen Adele Wickman
• Randy Eugene Wieland, MFTI
• John Holmes Wilkinson, M.D.
• Anthony Joseph Williams, LMFT
• Bryan Jeffrey Wilson, D.D.S.
• Joyce Ann Wilson
• Marcus Steven Wilson

• Physician Assistant in Oroville, CA
• Providers in Oroville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.