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DR. CARL WILSON MD
NPI 1033110465
Internal Medicine - Nephrology in Santa Rosa, CA

Active since August 09, 2005
435 DOYLE PARK DR, SANTA ROSA, CA 95405(707) 527-9510(707) 527-1306 Get Directions Write a Review

NPPES record last updated: July 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL WILSON MD (NPI 1033110465) is an individual nephrology provider in Santa Rosa, California, licensed in California (G44318) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1033110465
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. CARL WILSONCredential: MD
Location Address435 DOYLE PARK DRSanta Rosa, CA 95405-4515
Mailing Address435 Doyle Park DrSanta Rosa, CA 95405-4515 · (707) 527-9510 · Fax (707) 527-1306
Phone(707) 527-9510
Fax(707) 527-1306
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 25, 2017
✔ NPI 1033110465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · G44318
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
435 DOYLE PARK DR, Santa Rosa, CA 95405
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Other Identifiers 3

Medicare UPINA92480
Medicare ID-Type Unspecified00G443180CA
Medicaid00G443180CA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANTA ROSA KIDNEY CARE PC
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
DR. JILL ELIZABETH EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
CARL WILSON MD INC & JILL EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
SIMY SURESH ANTONY NP
Nurse Practitioner (Family)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
FMCPS SANTA ROSA LLC
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Wilson's NPI number?

The NPI number for Carl Wilson is 1033110465. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Carl Wilson located?

Carl Wilson practices at 435 Doyle Park Dr, Santa Rosa, CA 95405. The listed phone number is (707) 527-9510.

What is Carl Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Carl Wilson was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.