Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnette B. Wilson III, RT

Individual provider Radiologic Technologist · NPI 1285898809

Johnette B. Wilson III, RT is a Radiologic Technologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

2923 75th Ave
Oakland, CA 94605-2903
Phone: (415) 571-0542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 44981 (CA)
Radiologic Technologist Taxonomy 247100000X · Licence 176908 (CA)

Record details

NPI number1285898809
Entity typeIndividual (Type 1)
GenderFemale
Credentials RT
Sole proprietorYes
NPI enumeratedJuly 13, 2008
Last updated in NPPESJuly 13, 2008
Mailing address2923 75th Ave, Po Box 5056, Oakland, CA 94605-2903

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