Active NPI
Preston Landon Williams, PA-C
- Physician Assistant
- Los Gatos, CA
National Provider Identifier
1528241593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19624
- Practice address
- 14850 Oka Rd Apt 5
Los Gatos, CA 95032-1926 - Phone
- (415) 840-5970
- NPI assigned
- Dec 12, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19624 | CA | Primary |
Addresses
Primary practice location
14850 Oka Rd Apt 5
Los Gatos, CA 95032-1926
Mailing address
1001 Silk Oak CT
Suisun City, CA 94585
Phone (415) 840-5970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA19624 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19624 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1528241593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SILK OAK CT",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "94585",
"telephone_number": "415-840-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 OKA RD APT 5",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321926",
"telephone_number": "415-840-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PRESTON",
"middle_name": "LANDON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA19624",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.