Individual provider Active NPI

Sylvia K Wilson, PA-C

  • Surgical Physician Assistant
  • Santa Maria, CA
National Provider Identifier
1902498611
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
67804 Issued in CA
Practice address
1325 E Church St Ste 202
Santa Maria, CA 93454-5915
Phone
(805) 346-3456
Fax
(805) 346-3454
NPI assigned
Feb 4, 2021
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA1124802 WA
Surgical Physician Assistant 363AS0400X 67804 CA Primary

Addresses

Primary practice location

1325 E Church St Ste 202
Santa Maria, CA 93454-5915

Mailing address

1325 E Church St Ste 202
Santa Maria, CA 93454-5915
Phone (805) 346-3456

Other practice location 1

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210518000512 WA Practitioner - Physician Assistant 3274942545 Reassigns benefits to 1 organization
I20260316000401 CA Practitioner - Physician Assistant 3274942545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1325 E Church St
Suite 202
Santa Maria, CA 93454-5915
Phone (805) 346-3456

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750

211 S 13TH St
Mount Vernon, WA 98274-4107
Phone (360) 814-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67804CAMDSurgical Physician Assistant
PA1124802WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Apr 27, 2021 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Apr 6, 2026 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Apr 6, 2026 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

1325 E Church St
Ste 202
Santa Maria, CA 93454
Phone (805) 346-3456

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: swilson33365@skagit.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1902498611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Kincaid St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982744127",
            "country_code": "US",
            "telephone_number": "360-428-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SYLVIA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA1124802",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "67804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.