MARY L. WILSON (NPI# 1609935204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609935204 |
| Entity Type | Individual |
| Full Name | MARY L. WILSON |
| Credential | MD |
| Practice Address |
4760 W Sunset Blvd Los Angeles CA 90027-6063 |
| Practice Telephone | 3237834011 |
| Mailing Telephone | 3237834011 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G43430 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| Street Address |
4760 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006378 | Eugene Tsai | Orthopaedic Surgery | 4760 W Sunset Blvd, 1st Floor, Los Angeles, CA 90027-6063 | 2005-07-11 |
| 1770918153 | Brianne Bennett Kaniecki | Physician Assistant | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2013-09-04 |
| 1376802744 | Cara Franken | Student in an Organized Health Care Education/Training Program | 4760 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6063 | 2012-05-04 |
| 1275892762 | Joseph Eubee Ahn | Surgery | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2012-05-03 |
| 1447519947 | Neil K Chawla | Family Medicine | 4760 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6063 | 2012-05-03 |
| 1437418977 | Gao Linda Chen | Student in an Organized Health Care Education/Training Program | 4760 W Sunset Blvd, Dept of Surgery - 3rd Floor, Los Angeles, CA 90027-6063 | 2012-05-03 |
| 1992063721 | William Chu | Urology | 4760 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6063 | 2012-04-30 |
| 1376801241 | Linda Jun Chun | Surgery | 4760 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6063 | 2012-04-30 |
| 1275891285 | Jerry Tsai | Surgery | 4760 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6063 | 2012-04-26 |
| 1811277635 | Kristyn L Rawson | Genetic Counselor, MS | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1528055456 | Yang Kim | Pediatrics | 500 S Virgil Ave # 2047a, Los Angeles, CA 90020 | 2005-10-05 |
| 1801248588 | Neonatal Specialty Care Medical Care, Inc. | Pediatrics | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2016-07-06 |
| 1427467497 | Maria Gabriela Dominguez Garcia | Pediatrics | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2014-08-04 |
| 1205112786 | Loew-tefft Neonatal Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2011-10-27 |
| 1326335233 | Arlene Espiritu Haigh | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2011-06-30 |
| 1073804332 | Claire Elizabeth Baldauf | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-04-21 |
| 1033421920 | Sarah Renee Volz | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2010-07-08 |
| 1467788265 | Ruby George | Pediatrics | 1200 N State Street, Ird Building, Room # 820, Los Angeles, CA 90033 | 2009-10-29 |
| 1104066570 | Newborn Special Care Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2009-02-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.