J. ROBERT WILSON (NPI# 1750342572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750342572 |
| Entity Type | Individual |
| Full Name | J. ROBERT WILSON |
| Credential | MD |
| Practice Address |
695 Oak Grove Ave Ste 310 Menlo Park CA 94025-4351 |
| Practice Telephone | 6503240700 |
| Practice Fax Number | 6503240709 |
| Mailing Telephone | 6503240700 |
| Mailing Fax Number | 6503240709 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2010-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G145650 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841417706 | J. Brad Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| Street Address |
695 OAK GROVE AVE STE 310 |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407816515 | Atherton Neurology Medical Office, Inc | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2006-03-23 |
| 1073981304 | Alok Arora, Dmd, PC | Dentist | 695 Oak Grove Ave, Suite 300, Menlo Park, CA 94025 | 2015-09-03 |
| 1639555105 | C-dental X-ray, Inc. | Dental Laboratory | 695 Oak Grove Ave, Ste. 330, Menlo Park, CA 94025-4351 | 2015-08-06 |
| 1982094421 | Sereno Pain Managment Medical Group, Inc. | Anesthesiology | 695 Oak Grove Ave, Ste. 200, Menlo Park, CA 94025-4369 | 2015-02-04 |
| 1578960621 | Lee and Lum Dental, PC | Dentist | 695 Oak Grove Ave, Suite 300, Menlo Park, CA 94025-4351 | 2014-12-04 |
| 1740530716 | Csg Better Hearing Services, Inc., A Professional Audiology Corp. | Audiologist-Hearing Aid Fitter | 695 Oak Grove Ave, Menlo Park, CA 94025-4351 | 2012-09-17 |
| 1659575991 | Leslie A Hall | Clinical Neuropsychologist | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2007-06-12 |
| 1609079722 | Dhira Khosla | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2007-06-06 |
| 1417169491 | Lidia Brown | Psychiatry & Neurology | 695 Oak Grove Ave, Ste 310, Menlo Park, CA 94025-4351 | 2007-05-04 |
| 1689893703 | William M Gould | Specialist | 695 Oak Grove Ave, Suite 220, Menlo Park, CA 94025-4351 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906075 | Peninsula Private Neurology Inc | Psychiatry & Neurology | 321 Middlefield Rd Ste 275, Menlo Park, CA 94025-4010 | 2014-01-23 |
| 1407816515 | Atherton Neurology Medical Office, Inc | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2006-03-23 |
| 1609079722 | Dhira Khosla | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2007-06-06 |
| 1417169491 | Lidia Brown | Psychiatry & Neurology | 695 Oak Grove Ave, Ste 310, Menlo Park, CA 94025-4351 | 2007-05-04 |
| 1013006998 | Jeffrey Stephen Javerbaum | Psychiatry & Neurology | 695 Oak Grove Ave, Ste 310, Menlo Park, CA 94025 | 2006-10-11 |
| 1366403776 | Ellyn C Bush | Psychiatry & Neurology | 695 Oak Grove Ave, Ste 310, Menlo Park, CA 94025-4351 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on J. ROBERT WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.