Healthcare Provider Details
I. General information
NPI: 1578455986
Provider Name (Legal Business Name): KAREFIRST NURSING CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5522 GRACEWOOD AVE
ARCADIA CA
91007-8409
US
IV. Provider business mailing address
6348 N MILWAUKEE AVE # 390
CHICAGO IL
60646-3728
US
V. Phone/Fax
- Phone: 847-235-6130
- Fax: 847-235-6135
- Phone: 847-235-6130
- Fax: 847-235-6135
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
R
WILSON
Title or Position: PRESIDENT
Credential: RN, MSN, APN
Phone: 847-235-6127