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KATHY WILSON M.D.
NPI 1245490721
Obstetrics & Gynecology in Long Beach, CA

Active since June 10, 2008PECOS Enrolled
2683 PACIFIC AVE, LONG BEACH, CA 90806(323) 404-4884 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathy Wilson M.d. NPPES

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

KATHY WILSON M.D. (NPI 1245490721) is an individual obstetrics & gynecology provider in Long Beach, California, licensed in California (A119319) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245490721
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHY WILSONCredential: M.D.
Location Address2683 PACIFIC AVELong Beach, CA 90806-2610
Mailing Address2683 Pacific Ave, Suite ALong Beach, CA 90806-2610 · (323) 404-4884
Phone(323) 404-4884
Sole ProprietorNo
Enumeration DateJune 10, 2008
Last NPPES UpdateJanuary 14, 2016
✔ NPI 1245490721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A119319
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2683 PACIFIC AVE, Long Beach, CA 90806
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Other Identifiers 1

Medicaid808130CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy Wilson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kathy Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magella Medical Group, Inc.
0.4 mi
Maternal & Fetal Medicine
2888 LONG BEACH BLVD STE 400
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 191 clinicians in this Medicare group
NPI 1376640086 (562) 997-8510
Pih Health Physicians
3.5 mi
Internal Medicine
2220 CLARK AVE
Long Beach, CA 90815
  • Reassigned Medicare billing, California enrollment
  • 840 clinicians in this Medicare group
NPI 1962016402 (562) 597-4181
Clinica Del Socorro Medical Group,inc.
14 mi
Family Medicine
1061 E VERNON AVE, SUITE 'F'
Los Angeles, CA 90011
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1215263827 (323) 233-9686
Healthcare Partners Affiliates Medical Group
17 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DINAH ALEGRE GARCIA D.O.
Family Medicine
2683 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 305-4883
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA
Family Medicine
2683 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2350
RAVIJOT GILL
Family Medicine
2683 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 230-6424
AIMEE L RIVERS M.D.
Obstetrics & Gynecology
2683 PACIFIC AVE, SUITE A
LONG BEACH, CA 90806
Los Angeles County (562) 989-5722
SL HEALTH INC
Obstetrics & Gynecology
2683 PACIFIC AVE, SUITE A
LONG BEACH, CA 90806
Los Angeles County (562) 989-5722
DR. MAYRA CONTRERAS M.D.
Obstetrics & Gynecology
2683 PACIFIC AVE, SUITE A
LONG BEACH, CA 90806
Los Angeles County (562) 989-5722
EMILY J CUTLER RD
Dietitian, Registered
2683 PACIFIC AVE, PACIFIC FAMILY HEALTH CLINIC
LONG BEACH, CA 90806
Los Angeles County (562) 997-2491
ANDREA NICHELLE YOUNG D.O.
Family Medicine
2683 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2350

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 Kathy Wilson's NPI number?

The NPI number for Kathy Wilson is 1245490721. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Kathy Wilson located?

Kathy Wilson practices at 2683 Pacific Ave, Long Beach, CA 90806. The listed phone number is (323) 404-4884.

What is Kathy Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kathy Wilson enrolled in Medicare?

Yes. Kathy Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Wilson reassigns Medicare benefits to 4 organizations: Magella Medical Group, Inc. (Long Beach, CA), Pih Health Physicians (Long Beach, CA), Clinica Del Socorro Medical Group,inc. (Los Angeles, CA) and Healthcare Partners Affiliates Medical Group (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathy Wilson was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.