Individual provider Active NPI

Christopher Evan Wilson, DO

  • Pain Medicine (Anesthesiology) Physician
  • Bakersfield, CA
National Provider Identifier
1912494717
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
20A19647 Issued in CA
Practice address
9802 Stockdale Hwy Ste 105
Bakersfield, CA 93311-3653
Phone
(661) 665-7880
Fax
(661) 735-3952
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10063871 TX
Anesthesiology Physician 207L00000X 201A19647 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A19647 CA Primary

Addresses

Primary practice location

9802 Stockdale Hwy Ste 105
Bakersfield, CA 93311-3653

Mailing address

9802 Stockdale Hwy Ste 105
Bakersfield, CA 93311-3653
Phone (661) 665-7880

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831003358 CA Practitioner - Anesthesiology 4880941392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hullander and Mozingo LPGroup PAC ID 3971543752, 9 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Suite 200
Bakersfield, CA 93308-6373
Phone (661) 401-6150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19647CAMDChiropractor
201A19647CAMDAnesthesiology Physician
BP10063871TXMDAnesthesiology Physician
20A19647CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Institute of California, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Hullander and Mozingo LP Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Hullander and Mozingo LP CurrentSince Oct 1, 2024 Accepting new patients

Locations

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

9802 Stockdale Hwy
Ste 105
Bakersfield, CA 93311
Phone (661) 665-7880

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

536 E Arrellaga St
Ste 104
Santa Barbara, CA 93103
Phone 80556303631511

1551 Bishop St
Ste 210
Sn Luis Obisp, CA 93401
Phone (805) 329-6262

Interoperability endpoints

  • Direct secure messaging: cwilson540435@direct.llu.edu
  • Direct secure messaging: christopher.wilson.1@22602.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1912494717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY STE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113653",
            "telephone_number": "661-665-7880",
            "fax_number": "661-735-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY STE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113653",
            "telephone_number": "661-665-7880",
            "fax_number": "661-735-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "EVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-08-16",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10063871",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "201A19647",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A19647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.