MS. LYDIA KAY WILSON (NPI# 1093729824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093729824 |
| Entity Type | Individual |
| Full Name | MS. LYDIA KAY WILSON |
| Credential | GNP |
| Practice Address |
18855 Victory Blvd Attn: Billing Department Reseda CA 91335-6445 |
| Mailing Address |
17075 Devonshire St Ste 204 Northridge CA 91325-5408 |
| Practice Telephone | 8187743354 |
| Practice Fax Number | 8187574401 |
| Mailing Telephone | 8183688929 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
513626 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE # | 513626 | 01 |
| CA | N.P. FURNISHING | 11725 | 01 |
| CA | DEA # | MW-071236 | 01 |
| CA | RAILROAD MEDICARE | P00705925 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184157729 | Lydia Wilson | Occupational Therapist | 1911 W C St, Jenks, OK 74037-2367 | 2017-04-11 |
| 1245381748 | Lydia A Wilson | Pharmacist | 124 W Renfro St, Burleson, TX 76028-4260 | 2007-01-13 |
| Street Address |
18855 VICTORY BLVD ATTN: BILLING DEPARTMENT |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930995 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Nursing Facility/Intermediate Care Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-05-24 |
| 1255989208 | Thomas N Dao | Physical Therapist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2019-09-03 |
| 1740724178 | Stevy Aswani | Speech-Language Pathologist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2016-12-03 |
| 1366848335 | Noachim Marco | Internal Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2014-11-18 |
| 1821394883 | Asana Integrated Medical Group | Psychiatry & Neurology | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2011-02-08 |
| 1962612432 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Assisted Living Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2007-05-23 |
| 1831264092 | Jha Geriatric Services, Inc | Clinic/Center | 18855 Victory Blvd, Reseda, CA 91335 | 2006-11-22 |
| 1831284207 | Isaac Vielma | Family Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2006-10-03 |
| 1265477749 | Shahin Delkhah | Internal Medicine | 18855 Victory Blvd, Attn Billing Department, Reseda, CA 91335-6445 | 2006-06-18 |
| 1952383507 | Elizabeth Camara | Optometrist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
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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.