Prince Williams, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

060502048 Issued in CA

Practice address

100 Campus Ctr
Seaside, CA 93955-8000

Phone

(831) 582-3010

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1952817090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 JACKSON CT",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939335032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS CTR",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939558000",
            "telephone_number": "831-582-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PRINCE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "060502048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weidong Wang, DDS
• Weidong Wang D. D. S. Corp
• Michael J Wheeler
• Kelsey Whittington
• Julie J Wildman, PH.D.
• Catherine L Wilson, CAS
• Elizabeth Wilson
• Paul G. Wilson, PH.D.
• Audrey Lee Wingo
• Won Life Physical Therapy and Wellness PC

• Athletic Trainer in Seaside, CA
• Providers in Seaside, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.