Active NPI
Ronald Virgil Wilson Jr.
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1821340373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 67548
- Practice address
- 1200 N Main St
Room 325
Santa Ana, CA 92701-3640 - Phone
- (714) 480-6357
- NPI assigned
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 67548 | CA | Primary |
Addresses
Primary practice location
1200 N Main St
Room 325
Santa Ana, CA 92701-3640
Mailing address
1011 Ocean Avenue
Apt. a
Seal Beach, CA 90740-6446
Phone (832) 229-7737
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 67548 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1821340373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 OCEAN AVENUE",
"address_2": "APT. A",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406446",
"telephone_number": "832-229-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MAIN ST",
"address_2": "ROOM 325",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927013640",
"telephone_number": "714-480-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RONALD",
"middle_name": "VIRGIL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 67548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.