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HAROLD T WILSON MD
NPI 1619960457
Pediatrics - Pediatric Emergency Medicine in Van Nuys, CA

Active since August 26, 2005PECOS Enrolled
16063 VANOWEN ST, VAN NUYS, CA 91406(818) 785-9989(818) 785-3330 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Harold T Wilson Md NPPES

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

HAROLD T WILSON MD (NPI 1619960457) is an individual pediatric emergency medicine provider in Van Nuys, California, licensed in North Carolina (9701199) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619960457
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameHAROLD T WILSONCredential: MD
Location Address16063 VANOWEN STVan Nuys, CA 91406-4810
Mailing Address16063 Vanowen StVan Nuys, CA 91406-4810 · (818) 785-9989 · Fax (818) 785-3330
Phone(818) 785-9989
Fax(818) 785-3330
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateOctober 3, 2013
✔ NPI 1619960457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NC · 9701199
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License A 38694 (CA)
16063 VANOWEN ST, Van Nuys, CA 91406
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Other Identifiers 4

Medicare UPINF 51035CA
Medicaid1619960457SC
Other1619960457Tricare
Medicaid5910044NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harold T Wilson Md 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 Reassignment

Medicare enrollment records show Harold Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arroyo Vista Family Health Foundation
17 mi
Federally Qualified Health Center (FQHC)
2411 N. BROADWAY
Los Angeles, CA 90031
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1174665905 (323) 987-2000

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

Other Providers at the Same Location NPPES

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

DR. DAFNA AHDOOT M.D
Pediatrics
16063 VANOWEN ST
VAN NUYS, CA 91406
Los Angeles County (818) 785-9989

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 Harold Wilson's NPI number?

The NPI number for Harold Wilson is 1619960457. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Harold Wilson located?

Harold Wilson practices at 16063 Vanowen St, Van Nuys, CA 91406. The listed phone number is (818) 785-9989.

What is Harold Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Harold Wilson enrolled in Medicare?

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

Which organization bills Medicare for Harold Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harold Wilson reassigns Medicare benefits to Arroyo Vista Family Health Foundation (Los Angeles, CA). The 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 Harold 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 Harold Wilson was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.