RICHARD NATHAN WILSON
NPI 1417761404
Rehabilitation Practitioner in Ceres, CA

Active since February 03, 2025
2528 LESLIE LN, CERES, CA 95307(209) 538-7331 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Nov 25, 2025, Feb 3, 2025 (3 updates tracked since 2025).

About Richard Nathan Wilson NPPES

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

RICHARD NATHAN WILSON (NPI 1417761404) is an individual rehabilitation practitioner in Ceres, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1417761404
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameRICHARD NATHAN WILSON
Location Address2528 LESLIE LNCeres, CA 95307-2326
Mailing Address2528 Leslie LnCeres, CA 95307-2326 · (209) 538-7331
Sole ProprietorYes
Enumeration DateFebruary 3, 2025
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1417761404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2528 LESLIE LN, Ceres, CA 95307

Other Providers at the Same Location NPPES 12

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

Case Manager/Care Coordinator
2528 LESLIE LN
CERES, CA 95307
Residential Treatment Facility, Emotionally Disturbed Children
2528 LESLIE LN
CERES, CA 95307
Case Manager/Care Coordinator
2528 LESLIE LN
CERES, CA 95307
Rehabilitation Practitioner
2528 LESLIE LN
CERES, CA 95307
Counselor (Mental Health)
2528 LESLIE LN
CERES, CA 95307
Rehabilitation Practitioner
2528 LESLIE LN
CERES, CA 95307
Case Manager/Care Coordinator
2528 LESLIE LN
CERES, CA 95307
Rehabilitation Practitioner
2528 LESLIE LN
CERES, CA 95307

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 Richard Wilson's NPI number?

The NPI number for Richard Wilson is 1417761404. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Richard Wilson located?

Richard Wilson practices at 2528 Leslie Ln, Ceres, CA 95307. The listed phone number is (209) 538-7331.

What is Richard Wilson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Richard Wilson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.