Provider Type Icon

WILLIAM L. WILSON M.D. INC. NPI 1568424687


NPI Information

NPI: 1568424687
Provider Name: WILLIAM L. WILSON, M.D., INC.

Doing Business As: CALIFORNIA PAIN AND SPINE CARE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
5565 GROSSMONT CENTER DR
BLDG. 3, STE. 540
LA MESA, CA
ZIP 91942
Phone: (619) 460-2700
Get Directions

WILLIAM L. WILSON, M.D., INC. is an interventional pain medicine pain medicine in La Mesa, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. WILLIAM L. WILSON, M.D., INC. NPI is 1568424687. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Pain And Spine Care.

The provider's business location address is:

5565 GROSSMONT CENTER DR
BLDG. 3, STE. 540
LA MESA, CA
ZIP 91942-020
Phone: (619) 460-2700
Fax: (619) 460-2702

The provider's authorized official is Roy Charles Brownlow .
The authorized official title is Md/owner and has the following contact phone number (770) 252-7557.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 2/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineG44872CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G448721MEDICAIDCALIFORNIA
200G448720MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.