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MRS. ALIX MACKENZIE WILSON PA-C
NPI 1912419276
Physician Assistant - Surgical in Oakland, CA

Active since October 26, 2017
747 52ND ST, OAKLAND, CA 94609(203) 570-0111 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 26, 2017 (2 updates tracked since 2017).

About Mrs. Alix Mackenzie Wilson Pa-c NPPES

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

MRS. ALIX MACKENZIE WILSON PA-C (NPI 1912419276) is an individual surgical provider in Oakland, California, licensed in California (PA55025) and active in the NPI registry since October 2017. She maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1912419276
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. ALIX MACKENZIE WILSONCredential: PA-C
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address2207 Bridgeport WayMartinez, CA 94553-6711 · (203) 570-0111
Phone(203) 570-0111
Sole ProprietorNo
Enumeration DateOctober 26, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1912419276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA55025
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License 55025 (CA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA55025 (CA)
747 52ND ST, Oakland, CA 94609
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Secondary Practice Location 1

Location 1400 Parnassus AveSan Francisco, CA 94143-2202 · Phone (415) 476-1000

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.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Alix Wilson's NPI number?

The NPI number for Alix Wilson is 1912419276. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Alix Wilson located?

Alix Wilson practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (203) 570-0111.

What is Alix Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Alix Wilson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.