Active NPI
Dean Wilson Jr., P.A.
- Physician Assistant
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19199
- Practice address
- 215 W Janss Rd
Thousand Oaks, CA 91360-1847 - Phone
- (805) 497-2727
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 19199 | CA | Primary |
Addresses
Primary practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
PO Box 98
Agoura Hills, CA 91376-0098
Phone (818) 422-7246
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 852-9100
2901 Wilshire Blvd
Suite 105
Santa Monica, CA 90403-4984
Phone (800) 899-0101
Hospital & facility affiliations
- Los Robles Hospital & Medical Center
- Saint John'S Health Center
- Providence Cedars Sinai Tarzana Medical Center
- Adventist Health Simi Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 99 of 100
- Quality
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Assistant on Call, LLC | Surgical | Current | Accepting new patients |
| German Montoya, M.D.PA | Single Specialty | Past | Accepting new patients |
| Caribbean Neurosciences Inc | Single Specialty | Past | Accepting new patients |
Locations
7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301
Interoperability endpoints
- dean.wilsonjr@hca3.eclinicaldirectplus.com
- dwilson1294578@direct.uclahealth.org
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Marina del Rey, CA
- NPI 1568581478
-
- Multi-Specialty Clinic/Center
- Moorpark, CA
- NPI 1366859449
-
- Surgical Physician Assistant
- West Hills, CA
- NPI 1457538399
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1659329951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913760098",
"telephone_number": "818-422-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W JANSS RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601847",
"telephone_number": "805-497-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "19199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.