KEITH ALAN WILSON (NPI# 1841470507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841470507 |
| Entity Type | Individual |
| Full Name | KEITH ALAN WILSON |
| Credential | P.A. |
| Practice Address |
12550 Hesperia Road Suite100 Victorville CA 92395-0000 |
| Mailing Address |
12143 Navajo Rd Apple Valley CA 92308-7250 |
| Practice Telephone | 7602416666 |
| Practice Fax Number | 7602417575 |
| Mailing Telephone | 7602401144 |
| Mailing Fax Number | 7602409127 |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18722 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982949988 | Keith L Wilson IIi | Counselor | 1330 E Cherry St # 12, Springfield, MO 65802-3429 | 2012-12-01 |
| 1467604744 | Keith C Wilson | Specialist/Technologist, Other | 2503 Robin Knoll Ct, Fresno, TX 77545-8167 | 2008-10-16 |
| 1609022219 | Keith Raymond Wilson | Counselor | 1596 Monroe Ave, Rochester, NY 14618-1415 | 2008-08-14 |
| 1346391976 | Keith Peter Wilson | Dentist | 211 N Second St, Po 727, Peotone, IL 60468-8837 | 2007-01-12 |
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1205907615 | Keith Wilson | Chiropractor | 1717 Amwell Road, Somerset, NJ 08873 | 2006-11-10 |
| 1609307560 | Keith Wilson | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-03-22 |
| 1851732697 | Keith Wilson | Prosthetic/Orthotic Supplier | 1823 Charlotte Ave, Nashville, TN 37203-2104 | 2013-07-09 |
| 1255776258 | Keith Garnett Wilson | Emergency Medicine | 155 N Fresno St, Fresno, CA 93701 | 2013-05-03 |
| 1720248198 | Keith D Wilson Jr. | General Practice | 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 | 2008-06-10 |
| Street Address |
12550 HESPERIA ROAD SUITE100 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932163839 | Frank C Lee | Ophthalmology | 12550 Hesperia Road, Suite 220, Victorville, CA 92395-5873 | 2006-04-17 |
| 1346556263 | Steven James Sanders | Physician Assistant | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2010-08-30 |
| 1114156171 | Diane Leslie Thompson | Physician Assistant | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2009-07-10 |
| 1386760510 | Harrison Sherman Kuykendall IIi | Physician Assistant | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2007-03-21 |
| 1629027305 | Madeleine Ong-veloso | Nurse Practitioner | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2006-05-09 |
| 1265481907 | Teresa Allyn Podgorski | Family Medicine | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1740671379 | Virginia Muro | Physician Assistant | 13010 Hesperia Rd Ste 200, Victorville, CA 92395-8315 | 2015-02-18 |
| 1710021134 | Jenoa Lynn Holmes | Physician Assistant | 12332 Hesperia Rd Ste A, Victorville, CA 92395-4796 | 2007-02-18 |
| 1396891321 | Jonathan Peter Roy | Physician Assistant | 12408 Hesperia Rd Ste 2, Victorville, CA 92395-4786 | 2007-01-25 |
| 1760534754 | Ann Marie Pierce | Physician Assistant | 15532 Bear Valley Rd, Victorville, CA 92395-9260 | 2007-01-18 |
| 1629181839 | Kendra D Armour | Physician Assistant | 15080 7th St Ste 6, Victorville, CA 92395-3865 | 2006-08-15 |
| 1982657482 | Gilda M.s. Bidet | Physician Assistant | 17290 Jasmine St Ste 101, Victorville, CA 92395-8300 | 2006-05-18 |
| 1932152683 | Yohannes Debebe | Physician Assistant | 12186 Hesperia Rd, Victorville, CA 92395-5822 | 2006-05-17 |
| 1447809876 | Cory Ryan | Physician Assistant | 15532 Bear Valley Rd, Victorville, CA 92395 | 2019-09-09 |
| 1245892454 | Keala Kaaikala | Physician Assistant | 12550 Hesperia Rd Ste 100, Victorville, CA 92395-5873 | 2019-07-08 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on KEITH ALAN 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.