Individual provider Active NPI

Hugh Elliott Wilson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salinas, CA
National Provider Identifier
1528060340
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G545420 Issued in CA
Practice address
450 E Romie LN
Salinas, CA 93901-4029
Phone
(831) 758-1223
Fax
(831) 758-0404
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G545420 CA Primary

Addresses

Primary practice location

450 E Romie LN
Salinas, CA 93901-4029

Mailing address

820 Park Row
Salinas, CA 93901-2406
Phone (831) 758-1223

Other identifiers 1

IdentifierTypeStateIssuer
GR0025830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000853 CA Practitioner - Pathology 0345327656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G545420CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Pathology Services Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince May 14, 2014 Accepting new patients

Locations

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

820 Park Row
Salinas, CA 93901

Interoperability endpoints

  • Direct secure messaging: hwilson21433@direct.svmh.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1528060340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PARK ROW",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012406",
            "telephone_number": "831-758-1223",
            "fax_number": "831-758-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014029",
            "telephone_number": "831-758-1223",
            "fax_number": "831-758-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HUGH",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G545420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.