Forreline G Wilson (NPI# 1053841759, PAC ID# 3476823535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053841759 |
| PAC ID by PECOS | 3476823535 |
| Professional Enrollment ID | I20170721002559 |
| Full Name | Forreline G Wilson |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC |
| Address |
2505 Santa Monica Blvd Santa Monica CA 90404-2011 |
| Phone Number | 8663892572 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224191374 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 | 8663892572 | MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Walker | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 |
| Alexandra S Takanikos | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 1350 Florin Rd, Sacramento, CA 95822-4202 |
| Brandon O Moritz | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 5623 Kanan Rd, Agoura, CA 91301-3358 |
| Rebecca C Zamora | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 1720 S Bascom Ave, Campbell, CA 95008-0608 |
| Victoria M Hirst | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266-2730 |
| Asta I Baisa | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2455 San Ramon Valley Blvd, San Ramon, CA 94583-1601 |
| Jonathan Tran | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2037 Verdugo Blvd, Montrose, CA 91020-1626 |
| Bintu Baby | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 576 E El Camino Real, Sunnyvale, CA 94087-1940 |
| Amber M Hutt | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 8491 Santa Monica Blvd, West Hollywood, CA 90069-4218 |
| Ekaterina Dokukina | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 14735 Ventura Blvd, Sherman Oaks, CA 91403-3673 |
| Street Address |
2505 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey K Mccloskey | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 |
| Jenny S Huynh | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 |
| Hyeeun Jung | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 |
| Malynda C Lane | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SANTA MONICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Forreline G 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.