Active NPI
Wayne Antonio Wilkins
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1861709644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 6691 Convoy CT
San Diego, CA 92111 - Phone
- (858) 715-1211
- Fax
- (858) 715-1274
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
6691 Convoy CT
San Diego, CA 92111
Mailing address
P.O. Box 300193
1540 S. Escondido Blvd. Apt. 10
Escondido, CA 92030
Phone (760) 270-0821
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1861709644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 300193",
"address_2": "1540 S. ESCONDIDO BLVD. APT. 10",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92030",
"telephone_number": "760-270-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6691 CONVOY CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-715-1211",
"fax_number": "858-715-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "WAYNE",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.