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

Mrs. Alix Mackenzie Wilson, PA-C

Individual provider Pediatric Sports Medicine Physician · NPI 1912419276

Mrs. Alix Mackenzie Wilson, PA-C is a Pediatric Sports Medicine Physician in Oakland, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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

747 52nd St
Oakland, CA 94609-1809
Phone: (203) 570-0111
Show map & directions

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

Additional practice locations (1)

  • 400 Parnassus Ave, San Francisco, CA 94143-2202 — (415) 476-1000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA55025 (CA)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 55025 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA55025 (CA)

Record details

NPI number1912419276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2017
Last updated in NPPESMarch 17, 2018