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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Regents Of The University Of California
19 mi
Psychiatry
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 220 clinicians in this Medicare group
NPI 1508968967 (800) 926-8273

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 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.

Which organization bills Medicare for Willard Connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willard Connor reassigns Medicare benefits to Regents Of The University Of California (San Diego, 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 Willard Connor'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 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.