ON SITE PHYSICIAN SERVICES, PC (NPI# 1881178358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881178358 |
| Entity Type | Organization |
| Organization Name | ON SITE PHYSICIAN SERVICES, PC |
| Practice Address |
6131 Telegraph Road Commerce CA 90040 |
| Mailing Address |
4805 Prime Parkway Po Box 550 Mchenry IL 60050 |
| Practice Telephone | 3237212100 |
| Practice Fax Number | 8157595202 |
| Mailing Telephone | 8153639500 |
| Mailing Fax Number | 8153639696 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | DR. BRIAN WILBUR (PRESIDENT) |
| Authorized Official Telephone | 2138403181 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6131 TELEGRAPH ROAD |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| 1952593220 | Nancy E. Cohoon | Case Manager/Care Coordinator | 5835 Eastern Avenue, Commerce, CA 90040 | 2007-08-10 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841442738 | Luis Omar Ontiveros | Family Medicine | 972 Goodrich Blvd, Commerce, CA 90022-4114 | 2008-10-22 |
| 1659411742 | Suzanne E Monday Md | Family Medicine | 1700 Washington St, Commerce, TX 75428-3034 | 2007-02-07 |
| 1912096751 | Athens Regional Physician Services | Family Medicine | 1935 Homer Rd, Suite B, Commerce, GA 30529-1254 | 2006-10-12 |
| 1104910157 | Adolfo Randolph Suarez | Family Medicine | 687 Hospital Rd, Commerce, GA 30529-1146 | 2006-10-03 |
| 1588765408 | Alon Englanoff | Family Medicine | 5211 E Washington Blvd, Suite 18, Commerce, CA 90040-3959 | 2006-09-25 |
| 1629184395 | Robert P Marshburn | Family Medicine | 45 Medical Center Ct, Commerce, GA 30529-1085 | 2006-08-22 |
| 1659395374 | Paul Montford Sergent | Family Medicine | 701 Hospital Rd, Commerce, GA 30529-1166 | 2006-07-26 |
| 1255326393 | Thomas C Selvaggi | Family Medicine | 1705 Live Oak St, Commerce, TX 75428-2551 | 2005-09-14 |
| 1942201751 | Ursula Maria Baffigo | Family Medicine | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2005-08-02 |
| 1962408997 | Veronica Michelle Patterson | Family Medicine | 641 Hospital Rd, Suite 4, Commerce, GA 30529-1155 | 2005-06-23 |
| Find all providers in COMMERCE | ||||
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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.