DR. NATHAN JEROME WILSON D.O.
NPI 1720053572
Family Medicine in Long Beach, CA

Active since February 22, 2006
4221 CHESTNUT AVE, LONG BEACH, CA 90807(310) 720-0758 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathan Jerome Wilson D.o. NPPES

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

DR. NATHAN JEROME WILSON D.O. (NPI 1720053572) is an individual family medicine provider in Long Beach, California, licensed in California (20A5796) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1720053572
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATHAN JEROME WILSONCredential: D.O.
Location Address4221 CHESTNUT AVELong Beach, CA 90807-1903
Mailing Address4221 Chestnut AveLong Beach, CA 90807-1903 · (310) 720-0758
Sole ProprietorYes
Enumeration DateFebruary 22, 2006
Last NPPES UpdateFebruary 11, 2015
NPI 1720053572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A5796
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4221 CHESTNUT AVE, Long Beach, CA 90807

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 Nathan Wilson's NPI number?

The NPI number for Nathan Wilson is 1720053572. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Nathan Wilson located?

Nathan Wilson practices at 4221 Chestnut Ave, Long Beach, CA 90807. The listed phone number is (310) 720-0758.

What is Nathan Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nathan Wilson was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.