Organization Active NPI

Wils Transportation

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1700465424
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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 TRANSPORTATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.