MICHAEL S. WILLSON MD – NPI #1407923634
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MICHAEL WILLSON is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1407923634 to MICHAEL WILLSON on November 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL WILLSON below.

NPI Profile for
MICHAEL S. WILLSON

NPI Number
1407923634
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL S. WILLSON
Credentials
MD
Primary location
3250 FORDHAM ST
BUILDING A
SAN DIEGO, CA 92110-5339
Phone: (619) 528-5000 Fax:
Mailing address
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone: (626) 405-3640 Fax: (626) 405-6768
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL WILLSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G347680
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA G34768

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.