BYRON ERIC WILSON M.D. NPI 1992736367

NPI Information

  • NPI: 1992736367
  • Provider Name: BYRON ERIC WILSON, M.D.
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20055 LAKE CHABOT RD
    #130
    CASTRO VALLEY, CA
    ZIP 94546
  • Phone: (510) 888-0657

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NPI Details

Byron Eric Wilson, M.D. is a medical oncology internal medicine in Castro Valley, CA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Byron Eric Wilson, M.D. NPI is 1992736367. 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:

20055 LAKE CHABOT RD
#130
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 888-0657
Fax: (510) 886-4532

The NPI 1992736367 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 7/5/2006 and was last updated on 8/21/2018.

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
1207RH0000XInternal MedicineHematologyG72444CALIFORNIANo
2207RX0202XInternal MedicineMedical OncologyG72444CALIFORNIAYes

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
100G724440MEDICAIDCALIFORNIA
2900002477OTHERRAILROAD MEDICARE

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: 3/30/2025

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