IndividualActive
Cary Wilson, PA-C
NPI 1700067378 · Physician Assistant · Rohnert Park, CA
Provider details
- NPI number
- 1700067378
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 56256 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5900 State Farm Dr Ste 200
Rohnert Park, CA 94928-2149
Phone: (707) 559-7500
Street-level locationGet directions
Mailing address
1179 N Mcdowell Blvd
Petaluma, CA 94954-6559
Additional practice locations (1)
- 1179 N Mcdowell BlvdPetaluma, CA 94954-6559Phone: (707) 559-7500
Registry dates
- Enumerated
- 2007-11-23
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.