Organization Active NPI

Cameron Wilson Inc

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1932586302
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A121921 Issued in CA
Legal business name
CAMERON WILSON INC
Practice address
8851 Center Dr Ste 208
La Mesa, CA 91942-3189
Phone
(619) 828-1000
Fax
(619) 828-1001
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Cameron Wilson, M.D.
Title
Owner
Phone
(619) 828-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A121921 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 208
La Mesa, CA 91942-3189

Mailing address

8851 Center Dr Ste 208
La Mesa, CA 91942-3189
Phone (619) 828-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1932586302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 208",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423189",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 208",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423189",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON WILSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-828-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A121921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.