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Timothy Sean Wilson

Clinical · Campbell

NPI 1972760528

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Timothy Sean Wilson’s office at (415) 299-2681 to ask if they take your plan before you enroll.

California Medical Board record

Licence A25529 · Cancelled

Licence status: Cancelled · since 1973 · Indiana University School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI
1972760528
Licence
CA 25529California A25529: Cancelled
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 1041C0700X (1041C0700X)
Mailing address
201 Michael Dr Apt A4, Campbell, CA, 95008
NPI first listed
2008-05-21
NPI last updated
2024-12-31
NPI record certified
2024-12-31

This is when the NPI record was last certified, not a medical board exam.