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

Richard Nathan Wilson

Individual provider Rehabilitation Practitioner · NPI 1417761404

Richard Nathan Wilson is a Rehabilitation Practitioner in Ceres, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2528 Leslie Ln
Ceres, CA 95307-2326
Phone: (209) 538-7331
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1417761404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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