Active NPI
Andrew John Wilson, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Salinas, CA
National Provider Identifier
1770585473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G366820
- Practice address
- 450 E Romie LN
Salinas, CA 93901-4029 - Phone
- (831) 758-1223
- Fax
- (831) 758-0404
- NPI assigned
- Aug 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G366820 | CA | Primary |
Addresses
Primary practice location
450 E Romie LN
Salinas, CA 93901-4029
Mailing address
820 Park Row
Salinas, CA 93901-2406
Phone (831) 758-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0025830 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G366820 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1770585473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PARK ROW",
"city": "SALINAS",
"state": "CA",
"postal_code": "939012406",
"telephone_number": "831-758-1223",
"fax_number": "831-758-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E ROMIE LN",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014029",
"telephone_number": "831-758-1223",
"fax_number": "831-758-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANDREW",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G366820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0025830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.