SearchCalifornia101YM0800X

Shiva Wilson

NPI 1902572308 · on the registry since 2021

Practice

Address
1225 Crane St Ste 205
Menlo Park, CA 94025
Phone
(650) 394-5155
Organisation at this address
Jia Yu Wang
Crane Street Dermatology
Tobias Physical Therapy Inc.
Complete Therapeutic Massage Llc
Menlo Park Ophthalmology Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California