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

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheka Jones-EspyNPI 1417416140

Title

PHN Manager

Phone

(707) 784-8653

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheka Jones Espy

  • Community Health Registered Nurse
  • Fairfield, CA
  • NPI 1417416140
  Authorized official Same address or phone
• 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.