Joseph Isaiah Willis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G32748 Issued in CA

Practice address

20540 Via Tarara
Yorba Linda, CA 92887-3204

Phone

(714) 701-9560

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1710947841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20540 VIA TARARA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873204",
            "telephone_number": "714-701-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20540 VIA TARARA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873204",
            "telephone_number": "714-701-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOSEPH",
        "middle_name": "ISAIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G32748",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G32748",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G32748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G327480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Western, PSYD.
• Kimberly Anne Western, LMFT
• Chelsea Nicole White, PHARMD
• Lisa Williams
• Wendy McInerney Williams, RDHAP
• Christine Renee Wilson, MD
• Terry Wayne Wilson, D.C.
• Teresa Marie Wisner, DC
• Shyla Michelle Witthaus, FNP-BC
• Allison Elizabeth Wolf, PT, DPT

• Diagnostic Radiology Physician in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.