B. Gale Wilson Mtu

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

B. GALE WILSON MTU

Practice address

3305 Cherry Hills CT
Fairfield, CA 94534-7870

Phone

(707) 784-8650

Fax

(707) 421-7484

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Sheka Jones-Espy

Title

PHN Manager

Phone

(707) 784-8653

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget O. Oduni

  • Case Management Registered Nurse
  • Fairfield, CA
  • NPI 1891101150
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1699401018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5-175",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 CHERRY HILLS CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347870",
            "telephone_number": "707-784-8650",
            "fax_number": "707-421-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. GALE WILSON MTU",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "JONES-ESPY",
        "authorized_official_first_name": "SHEKA",
        "authorized_official_title_or_position": "PHN MANAGER",
        "authorized_official_telephone_number": "707-784-8653"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ayala
• Tanya Ayers
• Rebekah O Ayodele, M.D.
• John Ayson
• Samimah Aziz, MS
• Andrew Jacob Back
• John Kelly Badgett
• Savannah Marie Bahls, DO
• Pranay Bahuguna, M.D.
• Joshua Baides

• Rehabilitation Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.