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LAURA ANN WILSON
NPI 1841794567
Medical Genetics - Clinical Genetics (M.D.) in Orange, CA

Active since March 19, 2018PECOS Enrolled
505 S MAIN ST STE 525, ORANGE, CA 92868(714) 456-5631(714) 285-0389 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Mar 19, 2018 (2 updates tracked since 2018).

About Laura Ann Wilson NPPES

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

LAURA ANN WILSON (NPI 1841794567) is an individual clinical genetics (m.d.) provider in Orange, California, licensed in California (A165832) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1841794567
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameLAURA ANN WILSON
Location Address505 S MAIN ST STE 525Orange, CA 92868-4553
Mailing Address33601 Windjammer DrDana Point, CA 92629-4469 · (714) 742-3245
Phone(714) 456-5631
Fax(714) 285-0389
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1841794567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in CA · A165832
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Medical Biochemical GeneticsTaxonomy 207SG0207X · License A165832 (CA)
505 S MAIN ST STE 525, Orange, CA 92868
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Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Ann Wilson 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.

Other Providers at the Same Location NPPES 20

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

LINDSEY LILL
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
ESTHER CHANG
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (925) 785-6878
LUKE YU MD
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631
CHARISSA LAU
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
MARIA NGUYEN DO
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
REGINA TANG
Student in an Organized Health Care Education/Training Program
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 509-8547
DEAN TODD MD
Pediatrics
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631
KATHERINE ALOYSIUS KILLMOND
Pediatrics
505 S MAIN ST STE 525
ORANGE, CA 92868
Orange County (714) 456-5631

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 Laura Wilson's NPI number?

The NPI number for Laura Wilson is 1841794567. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Laura Wilson located?

Laura Wilson practices at 505 S Main St Ste 525, Orange, CA 92868. The listed phone number is (714) 456-5631.

What is Laura Wilson's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Laura Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laura Wilson was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.