Ethan Wilson
NPI 1285334276 · Physical Medicine & Rehabilitation Physician · Los Angeles, CA
Ethan Wilson is a Physical Medicine & Rehabilitation Physician provider in Los Angeles, CA (NPI 1285334276).
Provider details
- NPI number
- 1285334276
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125.083306 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 3249 Oak Park AveBerwyn, IL 60402-3429Phone: (708) 783-9100
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Frequently asked questions
- What is Ethan Wilson's NPI number?
- Ethan Wilson's National Provider Identifier (NPI) is 1285334276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Wilson's specialty?
- Ethan Wilson is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Wilson located?
- Ethan Wilson's practice location on file with NPPES is 11301 Wilshire Blvd, Los Angeles, CA 90073-1003.
- What is Ethan Wilson's phone number?
- The practice phone number listed in the NPPES registry for Ethan Wilson is (310) 478-3711.
- Is Ethan Wilson's NPI active?
- Yes — Ethan Wilson's NPI (1285334276) is active in the NPPES registry as of the last update on 2025-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.