Provider Demographics
NPI:1629545835
Name:WILKINS, DANA E (PA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:E
Last Name:WILKINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:E
Other - Last Name:BELK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36320 INLAND VALLEY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7512
Mailing Address - Country:US
Mailing Address - Phone:951-228-2986
Mailing Address - Fax:951-698-7700
Practice Address - Street 1:36320 INLAND VALLEY DR
Practice Address - Street 2:#101
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7512
Practice Address - Country:US
Practice Address - Phone:951-228-2986
Practice Address - Fax:951-698-7700
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA56176363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant