WILSHIRE ONCOLOGY MEDICAL GROUP, INC. (NPI# 1467640011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467640011 |
| Entity Type | Organization |
| Organization Name | WILSHIRE ONCOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1250 S Sunset Ave 303 West Covina CA 91790-3961 |
| Mailing Address |
1502 Arrow Hwy La Verne CA 91750-5318 |
| Practice Telephone | 6268565858 |
| Practice Fax Number | 9095935588 |
| Mailing Telephone | 9095934333 |
| Mailing Fax Number | 9095935588 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. LINDA DIANA BOSSERMAN (PRESIDENT) |
| Authorized Official Telephone | 9095934333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ83087Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376723676 | Wilshire Oncology Medical Group, Inc. | Specialist | 935 S Sunset Ave, West Covina, CA 91790-3408 | 2007-11-05 |
| 1346429362 | Wilshire Oncology Medical Group, Inc. | Specialist | 50 Bellefontaine St, Suite 201, Pasadena, CA 91105-3132 | 2007-10-26 |
| 1487842035 | Wilshire Oncology Medical Group, Inc. | Specialist | 210 S Grand Ave, Suite 425, Glendora, CA 91741-4205 | 2007-10-09 |
| 1629098447 | Wilshire Oncology Medical Group, Inc. | Specialist | 1910 Royalty Dr, Pomona, CA 91767-3021 | 2006-07-21 |
| Street Address |
1250 S SUNSET AVE 303 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433965 | Kenneth Tye | Internal Medicine | 1250 S Sunset Ave, West Covina, CA 91790-3962 | 2005-08-03 |
| 1790059053 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 1250 S Sunset Ave, Suite 303 B, West Covina, CA 91790 | 2012-03-05 |
| 1578835021 | Jonathan J Tye, Md A Professional Corp | Internal Medicine | 1250 S Sunset Ave, Ste 202, West Covina, CA 91790-3961 | 2012-01-30 |
| 1003108291 | Brian K Machida Md A Medical Corp | Otolaryngology | 1250 S Sunset Ave, #206, West Covina, CA 91790-3961 | 2011-05-06 |
| 1659697613 | Alejandro Sanchez Md Inc | Plastic Surgery | 1250 S Sunset Ave, Suite 101, West Covina, CA 91790-3961 | 2010-04-15 |
| 1366617565 | Alexander A Maglunog Md Inc | Surgery | 1250 S Sunset Ave, Suite 201, West Covina, CA 91790-3961 | 2008-04-28 |
| 1003081209 | Maria Susan Buhay-maglunog Md Inc | Internal Medicine | 1250 S Sunset Ave, Suite 201, West Covina, CA 91790-3961 | 2008-04-28 |
| 1568631901 | Kenneth Tye, M.d., Inc. | Internal Medicine | 1250 S Sunset Ave, #202, West Covina, CA 91790-3961 | 2008-02-28 |
| 1871708982 | Pacific Sleep Medicine Services, Inc. | Durable Medical Equipment & Medical Supplies | 1250 S Sunset Ave, Suite 303b, West Covina, CA 91790-3912 | 2007-05-11 |
| 1558401299 | San Gabriel Valley Surgical Center Lp | Clinic/Center | 1250 S Sunset Ave, Ste 100, West Covina, CA 91790-3912 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871872697 | Medwin Hospitalist and Healthcare Network | Specialist | 910 S Sunset Ave Ste 7and8, West Covina, CA 91790-3409 | 2011-08-10 |
| 1750510129 | Jimenez Lopez Medical Corp | Specialist | 2550 E Amar Rd Ste A2, West Covina, CA 91792-2231 | 2009-07-07 |
| 1366671786 | Medwin A Professional Corporation | Specialist | 910 S Sunset Ave Ste 7&8, West Covina, CA 91790-3409 | 2009-07-07 |
| 1083807382 | Cua & Gan Medical Group | Specialist | 1433 W Merced Ave Ste 114, West Covina, CA 91790-3402 | 2007-08-21 |
| 1235343450 | Norvelle A Harris | Specialist | 1104 Wescove Pl, #c, West Covina, CA 91790-5059 | 2007-05-09 |
| 1922185743 | David E. Zinke | Specialist | 1135 So. Sunset Ave, # 315, West Covina, CA 91790 | 2006-11-01 |
| 1295847929 | Raymond Pierre Limansky | Specialist | 1433 W Merced Ave Ste 220, West Covina, CA 91790-3402 | 2006-08-31 |
| 1861420069 | Patrick Lincoln Maloney | Specialist | 933 S. Sunset Ave. #106, West Covina, CA 91790-3410 | 2006-06-28 |
| 1851371595 | Shirley Resurreccion Villarica | Specialist | 1535 W Merced Ave, Suite 301, West Covina, CA 91790-3404 | 2006-01-19 |
| 1982602298 | Edwin L Edillon | Specialist | 222 N Sunset Ave, Suite F, West Covina, CA 91790-2278 | 2005-07-11 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.