Individual provider Active NPI

Errol Wilson, FNP

  • Community Health Nurse Practitioner
  • Indio, CA
National Provider Identifier
1760598130
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
RN500867 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN500867CAMDGeneral Practice Registered Nurse
NP11538CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.