DR. JOHN JULIUS WILLSEN M.D. NPI 1053497347

NPI Information

  • NPI: 1053497347
  • Provider Name: DR. JOHN JULIUS WILLSEN, M.D.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1199 DELBON AVE
    SUITE2
    TURLOCK, CA
    ZIP 95382
  • Phone: (209) 668-3063

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NPI Details

DR. John Julius Willsen, M.D. is a procedural dermatology dermatology in Turlock, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. John Julius Willsen, M.D. NPI is 1053497347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1199 DELBON AVE
SUITE2
TURLOCK, CA
ZIP 95382-015
Phone: (209) 668-3063
Fax: (209) 668-4992

The NPI 1053497347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2006 and was last updated on 2/11/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyG36877CALIFORNIAYes

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: 11/21/2025

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