Morgan Scott Wilson, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

C41439 Issued in CA

Practice address

322 Via Laguna Vis
San Luis Obispo, CA 93405-4763

Phone

(805) 503-9493

Fax

(805) 439-2186

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1891772117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 VIA LAGUNA VIS",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054763",
            "telephone_number": "805-503-9493",
            "fax_number": "805-439-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 VIA LAGUNA VIS",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054763",
            "telephone_number": "805-503-9493",
            "fax_number": "805-439-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MORGAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ID",
            "license": "M-6625",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C41439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487374",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaydee Breanne Wilson, BSN, RN
• Kelly Wilson, NA
• Lauren Wilson
• Marissa Wilson, LMFT
• Mark R Wilson, Q.M.E., O.M.D., LAC
• Stephanie Baisa Wilson, LMFT
• Thomas A Wilson, M.D.
• Dawn Wilt, RD, IBCLC
• Laura Anne Wilvert, LMFT
• Linda Darlene Winborne, RN

• Anatomic Pathology & Clinical Pathology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.