LILLIE MAE WILLIAMS


Address: 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102
Phone: 9155718518

LILLIE MAE WILLIAMS (NPI# 1588665111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588665111
Entity Type Individual
Full Name LILLIE MAE WILLIAMS
Credential M.D.
Practice Address 24853 Alessandro Blvd
#4
Moreno Valley
CA 92553-6102
Mailing Address 625 Fair Oaks Ave Ste 270
South Pasadena
CA 91030-5801
Practice Telephone 9155718518
Practice Fax Number 8777789427
Mailing Telephone 6263461239
Mailing Fax Number 6266393005
Enumeration Date 2005-08-04
Last Update Date 2018-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics G45814 CA Allopathic & Osteopathic Physicians
N 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
G45814 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI CAL 00G458140 01

Other Providers LILLIE WILLIAMS

NPI Name Taxonomy Address Enumeration
1376193953 Lillie Williams Technician 15116 Anchor Way, Lake Elsinore, CA 92530-5663 2019-09-16
1144391871 Lillie Williams Counselor 200 Mcgee Rd, Anderson, SC 29625-2104 2006-11-13

Office Location

Street Address 24853 ALESSANDRO BLVD
#4
City MORENO VALLEY
State CA
Zip Code 92553-6102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396124533 Dillys Kermah Owusu Nurse Practitioner 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 2015-05-20
1164809794 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 24853 Alessandro Blvd, Suite 4, Moreno Valley, CA 92553-6102 2015-05-04
1134563695 Carmela Villarin Ignacio Nurse Practitioner 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 2013-04-26
1295035251 Molina Healthcare of California Internal Medicine 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 2010-10-25
1225294754 Mishael Yvonne Arbuthnot Nurse Practitioner 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 2008-08-04
1558462515 Mohammad Ali Akbari Physician Assistant 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 2006-09-25
1043258825 Alan Seow-meng Pan Family Medicine 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6104 2006-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104441559 Tanya Gentle Marriage & Family Therapist 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 2020-06-11
1275194227 Antonio Pearce Psychologist 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 2019-06-20
1346726486 Elias Y. Rached Chiropractor 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 2018-07-12
1952813420 Shanaya Frederick Driver 14929 Spinnaker Lane, Moreno Valley, CA 92553 2017-10-24
1457879413 R & C Logistic Services, LLC Private Vehicle 14768 Briana St, Moreno Valley, CA 92553 2017-08-30
1720505084 Elda Pricila Hernandez Behavioral Analyst 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 2017-08-28
1174044101 Ps Medical Supplies Inc Durable Medical Equipment & Medical Supplies 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 2017-06-29
1942736327 Richard Pantoja Reyna Licensed Vocational Nurse 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 2017-05-04
1255872719 Sibonisiwe Moyo Johnson Nurse Practitioner 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 2017-03-16
1518311190 Ryan Macavinta Nurse Practitioner 22765 Alessandro Blvd., Moreno Valley, CA 92553 2016-04-20
Find all providers in zip 92553

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124399860 Joseph M Molina Md Professional Corporation-southern California Pediatrics 24853 Alessandro Blvd., #4, Moreno Valley, CA 92553-6102 2012-01-25
1336155258 David K Dong Pediatrics 12980 Frederick St Ste I, Moreno Valley, CA 92553-5263 2006-07-31
1285684605 Faculty Physicians and Surgeons of Llusm Pediatrics 11401 Heacock St, Suite 330, Moreno Valley, CA 92557-7908 2006-05-10
1659320497 Rosemarie Tweed Pediatrics 14114 Business Center Drive, Ste A, Moreno Valley, CA 92553 2006-05-09
1477546414 Menard Barruga Pediatrics 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2005-08-24
1013329499 My Nguyen Pediatrics 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2014-05-20
1386902211 Janice Tsai Pediatrics 11401 Heacock St, Suite 330, Moreno Valley, CA 92557-7908 2012-04-28
1053679035 Jesse Oliver Tweed Pediatrics 14114 Business Center Dr Ste A, Moreno Valley, CA 92553-9113 2012-04-27
1841588928 Meenu Sood Pediatrics 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 2011-07-11
1982900684 Frederica Fayad Pediatrics 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 2011-01-28
Find all providers in MORENO VALLEY

Competitor

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City MORENO VALLEY
Zip Code 92553

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Dataset Information

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.

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