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

Theresa Wilson

Individual provider Family Nurse Practitioner · NPI 1760631592

Theresa Wilson is a Nurse Practitioner in San Clemente, California. Qualified in 1996, 30 years ago. Practices with Centers for Family Medicine Gp, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2008

Practice location Address checks out

724 S El Camino Real
San Clemente, CA 92672-4250
Phone: (949) 493-6113
Fax: (949) 493-5851
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8242 (CA)

Record details

NPI number1760631592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2008
Last updated in NPPESNovember 30, 2025
Certification dateNovember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Centers For Family Medicine Gp — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in San Clemente