Active NPI
Errol Wilson, FNP
- Community Health Nurse Practitioner
- Indio, CA
National Provider Identifier
1760598130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- RN500867
- Practice address
- 81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577 - Phone
- (760) 342-4200
- Fax
- (760) 342-1600
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | RN500867 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | NP11538 | CA | |
| General Practice Registered Nurse | 163WG0000X | RN500867 | CA |
Addresses
Primary practice location
81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577
Mailing address
81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577
Phone (760) 342-4200
Other practice location 1
55557 Campus Road
Centro Medico Coachella
Thermal, CA 92274
Phone (760) 399-4526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN500867 | CA | MD | General Practice Registered Nurse |
| NP11538 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DAP Health-Coachella Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Coachella, CA
- NPI 1740948405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1760598130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81709 DR CARREON BLVD STE C5",
"city": "INDIO",
"state": "CA",
"postal_code": "922015577",
"telephone_number": "760-342-4200",
"fax_number": "760-342-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81709 DR CARREON BLVD STE C5",
"city": "INDIO",
"state": "CA",
"postal_code": "922015577",
"telephone_number": "760-342-4200",
"fax_number": "760-342-1600"
}
],
"practiceLocations": [
{
"address_1": "55557 Campus Road",
"address_2": "Centro Medico Coachella",
"address_purpose": "LOCATION",
"city": "Thermal",
"state": "CA",
"postal_code": "92274",
"country_code": "US",
"telephone_number": "760-399-4526",
"fax_number": "760-262-6195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ERROL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "RN500867",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP11538",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "RN500867",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.