Tashanya Wilson (NPI# 1093224172, PAC ID# 2860750734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093224172 |
| PAC ID by PECOS | 2860750734 |
| Professional Enrollment ID | I20171222001321 |
| Full Name | Tashanya Wilson |
| Organization Legal Name | UROLOGY CENTER OF SO CALIF MEDICAL GROUP INC |
| Address |
3975 Jackson St Suite 308 Riverside CA 92503-3951 |
| Phone Number | 9516878730 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406745439 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 | 9516878730 | UROLOGY CENTER OF SO CALIF MEDICAL GROUP INC |
| Organization Legal Name | UROLOGY CENTER OF SO CALIF MEDICAL GROUP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Yun | Urology | Urology Center of So Calif Medical Group Inc | 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 |
| Madhumitha Reddy | Urology | Urology Center of So Calif Medical Group Inc | 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 |
| Nu T Dao | Nurse Practitioner | Urology Center of So Calif Medical Group Inc | 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 |
| Brandon M Haynes | Urology | Urology Center of So Calif Medical Group Inc | 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 |
| Street Address |
3975 JACKSON ST SUITE 308 |
| City | RIVERSIDE |
| State | CA |
| Zip | 92503-3951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toral B Trivedi | Obstetrics/gynecology | Hesham El Mokadem Md Inc | 3975 Jackson St, Suite 110, Riverside, CA 92503-3946 |
| Sudha Moola | Obstetrics/gynecology | 3975 Jackson St, Suite 208, Riverside, CA 92503-3949 | |
| Freddie Pasco Dial | Internal Medicine | 3975 Jackson St, Suite 200, Riverside, CA 92503-3947 | |
| Peter Y Chang | Internal Medicine | 3975 Jackson St, Suite 102, Riverside, CA 92503-3938 | |
| John Coon | General Surgery | 3975 Jackson St, Suite 201, Riverside, CA 92503-3947 | |
| Roger T Cheng | Internal Medicine | 3975 Jackson St, Suite 106, Riverside, CA 92503-3945 | |
| Edward J Yun | Urology | Urology Center of So Calif Medical Group Inc | 3975 Jackson St, Suite 308, Riverside, CA 92503-3951 |
| Rakesh Chopra | Internal Medicine | 3975 Jackson St, Suite 206, Riverside, CA 92503-3948 | |
| Timothy Tk Jung | Otolaryngology | 3975 Jackson St, Suite 202, Riverside, CA 92503-3947 | |
| Robert A Bonner | Internal Medicine | 3975 Jackson St, Suite 107, Riverside, CA 92503-3945 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryam Poursartip | Internal Medicine | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Khadija H Hamisi | Nurse Practitioner | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Conrado Martinez | Physician Assistant | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Naomie D De La Cruz-novelo | Physician Assistant | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Linh A Ngo | Optometry | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Guillermo Saenz Zavala | Family Medicine | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Denise L Chapin | Nurse Practitioner | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Christine P Duong | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 5549 Van Buren Blvd, Riverside, CA 92503-2068 |
| Luke S Won | Podiatry | 9025 Colorado Ave, Riverside, CA 92503-2157 | |
| Katherine Elizabeth Robb Ramirez | Physical Medicine and Rehabilitation | West Coast Health and Rehab, PC | 4000 Harrison St, Riverside, CA 92503-3514 |
| Find all physicians in zip 92503 | |||
| City | RIVERSIDE |
| Zip Code | 92503 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RIVERSIDE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tashanya Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.