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

Mr. Cary B Wilson, PA-C

Individual provider Family Medicine Physician · NPI 1700067378

Mr. Cary B Wilson, PA-C is a Family Medicine Physician in Rohnert Park, California. Works from 2 locations. Licensed in California and Montana.

Licensed in
CA, MT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5900 State Farm Dr Ste 200
Rohnert Park, CA 94928-2149
Phone: (707) 559-7500
Show map & directions

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

Additional practice locations (1)

  • 1179 N McDowell Blvd, Petaluma, CA 94954-6559 — (707) 559-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56256 (MT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 56256 (CA)

Record details

NPI number1700067378
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2007
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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