Hermila V Willis (NPI# 1417055740, PAC ID# 3577596964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417055740 |
| PAC ID by PECOS | 3577596964 |
| Professional Enrollment ID | I20050915000911 |
| Full Name | Hermila V Willis |
| Organization Legal Name | DALE J BRENT MD INC |
| Address |
4955 Van Nuys Blvd Sherman Oaks CA 91403-1809 |
| Phone Number | 8187841195 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264462613 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| Address | Phone | Organization |
|---|---|---|
| 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1809 | 8187841195 | DALE J BRENT MD INC |
| 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403-1809 | 8187841195 | DALE J BRENT MD INC |
| Organization Legal Name | DALE J BRENT MD INC |
| Physicians | 1 |
| Street Address |
4955 VAN NUYS BLVD |
| City | SHERMAN OAKS |
| State | CA |
| Zip | 91403-1809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darcesean D Gamble | Physician Assistant | Dale J Brent Md A Medical Corporation | 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403-1824 |
| James Sundback Moore | Internal Medicine | San Fernando Valley Medical Group Inc | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 |
| Deva C. Stevens | Nurse Practitioner | Dadoyan Behavioral Medical Group Inc | 4955 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403-1812 |
| Jabeen Fatima | Family Medicine | 4955 Van Nuys Blvd, 415 Jabeen Fatima Md, Sherman Oaks, CA 91403-1827 | |
| Aaron Joshua Feinstein | Otolaryngology | Ent Group of Los Angeles | 4955 Van Nuys Blvd, Suite 505, Sherman Oaks, CA 91403-1829 |
| Christopher G Negrete | Nurse Practitioner | Epic Medical Group, Inc | 4955 Van Nuys Blvd, Suite 308, Sherman Oaks, CA 91403-1811 |
| Larisse Katherine Lee | Vascular Surgery | 4955 Van Nuys Blvd, Suite 704, Sherman Oaks, CA 91403-1819 | |
| Erin Frances Gordon | Internal Medicine | San Fernando Valley Medical Group Inc | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 |
| Ali R Namazie | Otolaryngology | 4955 Van Nuys Blvd, Suite 505, Sherman Oaks, CA 91403-1829 | |
| Gagandeep S Rahi | Internal Medicine | San Fernando Valley Medical Group Inc | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Schwartz | Chiropractic | 15335 Morrison St, Suite 226, Sherman Oaks, CA 91403-1560 | |
| Mi-yeoung Jo | Psychologist, Clinical | 15335 Morrison St, Suite 205, Sherman Oaks, CA 91403-1585 | |
| Ludmila Zaytsev | Psychologist, Clinical | 15335 Morrison St, Suite 205, Sherman Oaks, CA 91403-1585 | |
| Sujie Tang | Hematology/oncology | 4940 Van Nuys Blvd, Suite 207, Sherman Oaks, CA 91403-1700 | |
| Antero Velez | Obstetrics/gynecology | 4940 Van Nuys Blvd, Suite 307, Sherman Oaks, CA 91403-1700 | |
| Jeffrey C Peak | Anesthesiology | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 | |
| Daniel S Moghadam | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Danny L Chang | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Laurence J Friedman | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Jonathan K Gottlieb | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Find all physicians in zip 91403 | |||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHERMAN OAKS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Hermila V Willis.
| 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.