Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSTY J WILSON, PA
Active Sole ProprietorRUSTY J WILSON, PA is a Physician Assistant healthcare provider located in LA JOLLA, California. NPI 1336751395 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LA JOLLA, CA
Registration Details
- NPI Number
- 1336751395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2020 (6.0079923347733 yrs)
- Last Updated
- Sep 16, 2021
- Licenses
-
PA59998 (CA)PA59998 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10710 N TORREY PINES RDLA JOLLA, CA, 920371035Browse CA providers · Browse ZIP 92037
- Phone
- 8585548080
- Fax
- 8585548231
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER E SADLER | P.A. | 1306838842 |
| JOSE LUIS RUIZ | P.A. | 1235122961 |
| MRS. ABHA M BOSWORTH | PA | 1629067053 |
| HEATHER C. BONAGUIDI | P.A. | 1669458691 |
| DANIEL J. COLLINS | P.A. | 1548247158 |
| DORIS H. ELIAS | P.A. | 1457338089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.