DR. BEATA ANNA WICHERSKI (NPI# 1083662340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083662340 |
| Entity Type | Individual |
| Full Name | DR. BEATA ANNA WICHERSKI |
| Credential | MD |
| Practice Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Mailing Address |
1500 W West Covina Pkwy Ste 201 West Covina CA 91790-2703 |
| Practice Telephone | 8186372000 |
| Practice Fax Number | 8182428761 |
| Mailing Telephone | 6262637020 |
| Mailing Fax Number | 6269609177 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A53981 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A539810 | 05 |
| Street Address |
777 FLOWER ST STE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881430 | Patricia Sue Hester | Nurse Practitioner | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2005-06-17 |
| 1073647434 | Lakeside Medical Group, Inc. | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1003940479 | Verdugo Hills Medical Group, Ipa | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1497886220 | Rimma Shaposhnikov | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-07 |
| 1780762567 | Michael Chulman | Surgery | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-11-01 |
| 1568550317 | Phyllis Ross | Physician Assistant | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-10-10 |
| 1932129434 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-07-20 |
| 1063454510 | Mehdi Razeghi | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-06-11 |
| 1154373660 | Shivani Shah | Obstetrics & Gynecology | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-16 |
| 1306895412 | Edmund O Pascual | Pediatrics | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485489 | Pleasant Pediatrics Plc | Pediatrics | 9980 W Glendale Ave Ste 130, Glendale, AZ 85307-3007 | 2018-01-16 |
| 1518412311 | Saul Grullon | Pediatrics | 7848 73rd Pl, Glendale, NY 11385-7426 | 2016-08-22 |
| 1376921106 | Pleasant Pediatrics Plc | Pediatrics | 5125 W Myrtle Ave, Glendale, AZ 85301-2007 | 2015-05-13 |
| 1770987158 | Alice Abrahamian Md, A Medical Corporation | Pediatrics | 411 N Central Ave Ste 130, Glendale, CA 91203-2092 | 2014-10-14 |
| 1144634510 | Josephine Moukhtar | Pediatrics | 1816 Orchard Ave Apt 1, Glendale, CA 91206-4179 | 2014-06-13 |
| 1386068419 | Jean Bove Goerss | Pediatrics | 7101 W Beardsley Rd, Unit 741, Glendale, AZ 85308-5699 | 2014-02-10 |
| 1811230139 | Caroline Kim Park | Pediatrics | 801 S Chevy Chase Dr Ste 200, Glendale, CA 91205-4435 | 2013-04-04 |
| 1396049235 | Parvaneh Rafaeloff, Md, Inc. | Pediatrics | 1030 S. Glendale Ave #308, Glendale, CA 91205-2866 | 2011-01-07 |
| 1649572652 | Gagik Khoylyan, M.d., Inc. | Pediatrics | 540 N Central Ave Ste 105, Glendale, CA 91203-3350 | 2010-11-23 |
| 1497985386 | Melissa C Jones | Pediatrics | 3575 W Deer Valley Rd, Suite 100, Glendale, AZ 85308 | 2009-07-25 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.