Active NPI
Zane Wilson, NP
- Acute Care Nurse Practitioner
- Castro Valley, CA
National Provider Identifier
1801656228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95028609
- Practice address
- 20103 Lake Chabot Rd
Castro Valley, CA 94546-5305 - Phone
- (510) 537-1234
- NPI assigned
- Mar 21, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95028609 | CA | Primary |
Addresses
Primary practice location
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Mailing address
312 24TH St Apt 921
Oakland, CA 94612-4920
Phone (601) 320-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients | |
| Sutter Bay Hospitals | Current | Accepting new patients |
Locations
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
14207 E 14th St
San Leandro, CA 94578
Phone (510) 220-9578
Interoperability endpoints
- zwilson683682@hisp.ehr.sutterhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1801656228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 24TH ST APT 921",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124920",
"telephone_number": "601-320-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20103 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465305",
"telephone_number": "510-537-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ZANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95028609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.