IndividualActive
Weston Willard
NPI 1104667260 · Student in an Organized Health Care Education/Training Program · Sacramento, CA
Provider details
- NPI number
- 1104667260
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2570 48th St
Sacramento, CA 95817-1541
Phone: (916) 734-2145
Street-level locationGet directions
Mailing address
9872 Star Dr
Huntington Beach, CA 92646-6516
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.