HAROLD T WILSON MD NPI 1619960457

NPI Information

NPI: 1619960457
Provider Name: HAROLD T WILSON, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
16063 VANOWEN ST
VAN NUYS, CA
ZIP 91406
Phone: (818) 785-9989
Get Directions

Harold T Wilson, MD is a pediatric emergency medicine pediatrics in Van Nuys, CA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Harold T Wilson, MD NPI is 1619960457. 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:

16063 VANOWEN ST
VAN NUYS, CA
ZIP 91406-810
Phone: (818) 785-9989
Fax: (818) 785-3330

The NPI 1619960457 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 8/26/2005 and was last updated on 10/3/2013.

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
1	208000000X	Pediatrics		A 38694	CALIFORNIA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	9701199	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F 51035	MEDICARE UPIN	CALIFORNIA
2	1619960457	MEDICAID	SOUTH CAROLINA
3	1619960457	OTHER		TRICARE
4	5910044	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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