Active NPI
Wils Transportation
- Non-emergency Medical Transport (VAN)
- San Diego, CA
National Provider Identifier
1700465424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WILS TRANSPORTATION
- Practice address
- 845 15TH St Ste 103
San Diego, CA 92101-8098 - Phone
- (619) 856-5821
- Fax
- (877) 868-9686
- NPI assigned
- Apr 8, 2021
- Organization subpart
- Yes
- Parent organization
- WILS TRANSPORTATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manilay Amy Jackson
- Title
- Directing Manager
- Phone
- (619) 856-5821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
845 15TH St Ste 103
San Diego, CA 92101-8098
Mailing address
845 15TH St Ste 103
San Diego, CA 92101-8098
Phone (619) 856-5821
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wils-transpo@outlook.com |
National Provider Directory
National Provider Directory- Part of
- Wils Transportation
Locations
845 15th St
Ste 103
San Diego, CA 92101
Phone (425) 344-3949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633305600000",
"number": "1700465424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 15TH ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018098",
"telephone_number": "619-856-5821",
"fax_number": "877-868-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 15TH ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018098",
"telephone_number": "619-856-5821",
"fax_number": "877-868-9686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILS TRANSPORTATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILS TRANSPORTATION",
"enumeration_date": "2021-04-08",
"last_updated": "2021-10-04",
"certification_date": "2021-09-30",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MANILAY",
"authorized_official_middle_name": "AMY",
"authorized_official_title_or_position": "DIRECTING MANAGER",
"authorized_official_telephone_number": "619-856-5821"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wils-transpo@outlook.com",
"affiliation": "N",
"address_1": "845 15th St Ste 103",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921018098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.