DR. WILLARD WESLEY CONNOR JR. M.D.
NPI 1871772129
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Q: What is Willard Connor's NPI number?

The NPI number for Willard Connor is 1871772129. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Q: What is Willard Connor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Willard Connor was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 02, 2007PECOS Enrolled

16885 W BERNARDO DR, SUITE 235, SAN DIEGO, CA 92127(619) 550-3201(619) 342-7527 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Willard Wesley Connor Jr. M.d. NPPES

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

DR. WILLARD WESLEY CONNOR JR. M.D. (NPI 1871772129) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (A102033) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871772129

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. WILLARD WESLEY CONNOR JR.Credential: M.D.

Location Address16885 W BERNARDO DR, SUITE 235San Diego, CA 92127-1618

Mailing Address16885 W Bernardo Dr, Suite 235San Diego, CA 92127-1618 · (619) 550-3201 · Fax (619) 342-7527

Phone(619) 550-3201

Fax(619) 342-7527

Sole ProprietorNo

Enumeration DateNovember 2, 2007

Last NPPES UpdateFebruary 2, 2012

✔ NPI 1871772129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A102033

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A102033 (CA)

16885 W BERNARDO DR, San Diego, CA 92127

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willard Wesley Connor Jr. 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.

Other Providers at the Same Location NPPES 4

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

DR. NORIKO WATANABE PSYD

Counselor (Mental Health)

16885 W BERNARDO DR, SUITE 118
SAN DIEGO, CA 92127

San Diego County (858) 232-4521

TAMMY R NICKEL MPT

Physical Therapist

16885 W BERNARDO DR, SUITE 380A
SAN DIEGO, CA 92127

San Diego County (858) 722-3484

MRS. ANN M CASCO L.AC.

General Practice

16885 W BERNARDO DR, SUITE 380A
SAN DIEGO, CA 92127

San Diego County (619) 206-9679

MALAWEY PHYSICAL THERAPY

Physical Therapist

16885 W BERNARDO DR, SUITE 380A
SAN DIEGO, CA 92127

San Diego County (760) 715-4789

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 Willard Connor's NPI number?

The NPI number for Willard Connor is 1871772129. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Willard Connor located?

Willard Connor practices at 16885 W Bernardo Dr Suite 235, San Diego, CA 92127. The listed phone number is (619) 550-3201.

What is Willard Connor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Willard Connor enrolled in Medicare?

Yes. Willard Connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Willard Connor was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.