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BERNISE WILSON
NPI 1194919456
Nurse Practitioner - Family in Cerritos, CA

Active since August 30, 2007
12900 PARK PLAZA DR, CERRITOS, CA 90703(866) 646-3553 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2018, Mar 29, 2017, Mar 17, 2017 and 2 more (5 updates tracked since 2016).

About Bernise Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNISE WILSON (NPI 1194919456) is an individual family provider in Cerritos, California, licensed in California (NP95003938) and active in the NPI registry since August 2007. She maintains a secondary practice location in Costa Mesa.

NPPES Registry Identity

NPI1194919456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBERNISE WILSON
Location Address12900 PARK PLAZA DRCerritos, CA 90703-9329
Mailing AddressPo Box 15921Long Beach, CA 90815-0921
Phone(866) 646-3553
Sole ProprietorNo
Enumeration DateAugust 30, 2007
Last NPPES UpdateMay 8, 20185 updates tracked since enumeration
✔ NPI 1194919456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95003938
12900 PARK PLAZA DR, Cerritos, CA 90703
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Secondary Practice Location 1

Location 11150 Baker StCosta Mesa, CA 92626-4111 · Phone (562) 881-8326

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARDAVAN MEHDIZADEH M.D.
Internal Medicine
12900 PARK PLAZA DR, SUITE 150
CERRITOS, CA 90703
Los Angeles County (562) 207-0139
DONALD S. FURMAN MD
Internal Medicine (Gastroenterology)
12900 PARK PLAZA DR, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703
Los Angeles County (562) 741-4461
CHARLES HALBERT
Marriage & Family Therapist
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 246-3510
IRIS BUAN DNP, NP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (310) 808-3410
SIERRA HARTSFIELD
Social Worker (Clinical)
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 467-5438
ALBION MEDICAL PARTNERS OF CALIFORNIA WEST P C
Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
CERRITOS, CA 90703
Los Angeles County (562) 622-2800
MARCIA PATRICIA HARLAN FNP-C
Nurse Practitioner (Family)
12900 PARK PLAZA DR, STE 150
CERRITOS, CA 90703
Los Angeles County (866) 646-3553
KRYSTAL ADAMS N.P
Nurse Practitioner
12900 PARK PLAZA DR
CERRITOS, CA 90703
Los Angeles County (562) 622-2803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernise Wilson's NPI number?

The NPI number for Bernise Wilson is 1194919456. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Bernise Wilson located?

Bernise Wilson practices at 12900 Park Plaza Dr, Cerritos, CA 90703. The listed phone number is (866) 646-3553.

What is Bernise Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bernise Wilson was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.