Healthcare Provider Details

I. General information

NPI: 1982654588
Provider Name (Legal Business Name): MAAYA A WILTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

IV. Provider business mailing address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

V. Phone/Fax

Practice location:
  • Phone: 916-843-9024
  • Fax: 916-843-9425
Mailing address:
  • Phone: 916-843-9024
  • Fax: 916-843-9425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA90207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: