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CAMILLA WILLSON
NPI 1992123384
Podiatrist - Foot & Ankle Surgery in Fairfield, CA

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
1620 PENNSYLVANIA AVE STE A, FAIRFIELD, CA 94533(707) 426-5644 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Jul 23, 2019 (2 updates tracked since 2019).

About Camilla Willson NPPES

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

CAMILLA WILLSON (NPI 1992123384) is an individual foot & ankle surgery provider in Fairfield, California, licensed in California (E5464) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pittsburgh, and is a graduate of Barry University School Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1992123384
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCAMILLA WILLSON
Location Address1620 PENNSYLVANIA AVE STE AFairfield, CA 94533-3509
Mailing Address649 Gettysburg StPittsburgh, PA 15206-4549
Phone(707) 426-5644
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2010
Enumeration DateApril 2, 2014
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1992123384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5464
1620 PENNSYLVANIA AVE STE A, Fairfield, CA 94533
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Secondary Practice Location 1

Location 1649 Gettysburg StPittsburgh, PA 15206-4549 · Phone (850) 510-9367

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camilla Willson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123356995
PECOS Enrollment IDI20190819001981
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 2

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

DR. SEAN MICHAEL DOUGHERTY D.P.M.
Podiatrist (Foot & Ankle Surgery)
1620 PENNSYLVANIA AVE STE A
FAIRFIELD, CA 94533
Solano County (707) 426-5644
DR. SEAN DOUGHERTY, DPM, INC.
Clinic/Center (Podiatric)
1620 PENNSYLVANIA AVE STE A
FAIRFIELD, CA 94533
Solano County (707) 426-5644

Frequently Asked Questions

What is Camilla Willson's NPI number?

The NPI number assigned to this healthcare provider is 1992123384, enumerated as an "individual" on April 02, 2014.

Where is the provider located?

The provider is located at 1620 PENNSYLVANIA AVE STE A FAIRFIELD, CA 94533 and the phone number is (707) 426-5644.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.