JAMES LAVELL WILLIS III
NPI 1063362408
Registered Nurse - Psychiatric/Mental Health in Fresno, CA

Active since February 03, 2026
3520 E SHIELDS AVE STE 102, FRESNO, CA 93726(559) 538-1230 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Lavell Willis Iii NPPES

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

JAMES LAVELL WILLIS III (NPI 1063362408) is an individual psychiatric/mental health provider in Fresno, California, licensed in California (95267946) and active in the NPI registry since February 2026. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063362408
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameJAMES LAVELL WILLIS III
Location Address3520 E SHIELDS AVE STE 102Fresno, CA 93726-6923
Mailing Address3520 E Shields Ave Ste 102Fresno, CA 93726-6923 · (559) 538-1230
Sole ProprietorYes
Enumeration DateFebruary 3, 2026
NPPES CertifiedJanuary 30, 2026
NPI 1063362408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in CA · 95267946
3520 E SHIELDS AVE STE 102, Fresno, CA 93726

Secondary Practice Locations 4

Location 13141 N. Millbrook Ave.Fresno, CA 93703 · Phone (559) 453-1008
Location 24411 E Cesar Chavez BlvdFresno, CA 93702-3604 · Phone (559) 453-1008
Location 33147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008
Location 43127 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 600-7180

Other Providers at the Same Location NPPES 7

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

Licensed Vocational Nurse
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Orthotist
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Orthotist
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Licensed Vocational Nurse
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Peer Specialist
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Counselor (Addiction (Substance Use Disorder))
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726
Licensed Vocational Nurse
3520 E SHIELDS AVE STE 102
FRESNO, CA 93726

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 James Willis's NPI number?

The NPI number for James Willis is 1063362408. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is James Willis located?

James Willis practices at 3520 E Shields Ave Ste 102, Fresno, CA 93726. The listed phone number is (559) 538-1230.

What is James Willis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for James Willis was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.