WILSHIRE ONCOLOGY MEDICAL GROUP INC NPI 1710987706

Specialist in Rancho Cucamonga, CA

NPI 1710987706 Organization Specialist

About WILSHIRE ONCOLOGY MEDICAL GROUP INC

Wilshire Oncology Medical Group Inc is a provider established in Rancho Cucamonga, California specializing in specialist. The NPI number of Wilshire Oncology Medical Group Inc is 1710987706 and was assigned on July 2005. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Wilshire Oncology Medical Group Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Linda D Bosserman M.d. (President)

NPI

1710987706

Provider NameWILSHIRE ONCOLOGY MEDICAL GROUP INC
Provider Location Address8283 GROVE AVE SUITE 207 RANCHO CUCAMONGA, CA 91730
Provider Mailing Address1502 ARROW HWY LA VERNE, CA 91750
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-31-2005
Last Update Date09-27-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

WILSHIRE ONCOLOGY MEDICAL GROUP INC
8283 GROVE AVE
SUITE 207
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 949-2242
Fax: (909) 920-9863

Get Directions


Mailing Address

WILSHIRE ONCOLOGY MEDICAL GROUP INC
1502 ARROW HWY
LA VERNE, CA
ZIP 91750
Phone: (909) 593-4333
Fax: (909) 593-5588



Authorized Official

Authorized Official NameDR. LINDA D BOSSERMAN M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(909) 593-4333

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZZZ19568ZMEDICARE PIN (08)CA
GR0002885MEDICAID (05)CA

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013984905 ANNE EDITH PRZYBYLA AUD
Individual
Audiologist-Hearing Aid Fitter8283 GROVE AVE #104
RANCHO CUCAMONGA, CA 91730
(909) 920-9906
1376510313 MILES ELLIS PETERSON PHD
Individual
Audiologist-Hearing Aid Fitter8283 GROVE AVE #104
RANCHO CUCAMONGA, CA 91730
(909) 920-9906
1801855861MR. DAVID J KIRSHBAUM PA-C
Individual
Physician Assistant8283 GROVE AVE SUITE 201
RANCHO CUCAMONGA, CA 91730
(909) 981-6644
1386702496 DINA YVANIA PACHECO MA
Individual
Audiologist8283 GROVE AVE SUITE 104
RANCHO CUCAMONGA, CA 91730
(909) 920-9906
1114086394DR. ELLIOT STEVEN WEINSTEIN MD
Individual
Pediatrics8283 GROVE AVE # 203
RANCHO CUCAMONGA, CA 91730
(909) 949-8979
1255493532 ANDREW SHIH-HSIUNG HSU M.D.
Individual
Pediatrics8283 GROVE AVE SUITE202
RANCHO CUCAMONGA, CA 91730
(909) 982-8190
1336204346 ARSEN SUKIASYAN D.D.S.
Individual
Dentist8283 GROVE AVE SUITE 208
RANCHO CUCAMONGA, CA 91730
(909) 291-8625
1194931956MRS. BARBARA JO KIRSHBAUM MFT
Individual
Marriage & Family Therapist8283 GROVE AVE SUITE 201
RANCHO CUCAMONGA, CA 91730
(909) 985-4767
1023399276 RICHARD NEWMAN WHITAKER AU.D.
Individual
Audiologist-Hearing Aid Fitter8283 GROVE AVE SUITE 104
RANCHO CUCAMONGA, CA 91730
(909) 920-9906
1396792487 RICHARD COBURN HORNS M.D.
Individual
Specialist8283 GROVE AVE
RANCHO CUCAMONGA, CA 91730
(909) 949-2242
1124275276 MARILYN ROBERTS RPA
Individual
Radiology Practitioner Assistant8283 GROVE AVE SUITE 101
RANCHO CUCAMONGA, CA 91730
(909) 982-8638
1447668876IMMEDIACY URGENT CARE INC.
Organization
Clinic/Center (Urgent Care)8283 GROVE AVE STE 102A
RANCHO CUCAMONGA, CA 91730
(323) 422-5000
1265830863 AREZOU PETRIE RPH
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)8283 GROVE AVE STE 105
RANCHO CUCAMONGA, CA 91730
(909) 981-0956
1972525566FULFILLING HEALTHCARE SERVICES LLC
Organization
Pharmacy (Community/Retail Pharmacy)8283 GROVE AVE STE 105
RANCHO CUCAMONGA, CA 91730
(909) 981-0956
1942255807BEVERLY RADIOLOGY MEDICAL GROUP
Organization
Radiology (Diagnostic Radiology)8283 GROVE AVE SUITE 101
RANCHO CUCAMONGA, CA 91730
(909) 982-8638
1124184825SUKIASYAN PROFESSIONAL DENTAL CORP
Organization
Dentist8283 GROVE AVE SUITE 208
RANCHO CUCAMONGA, CA 91730
(909) 291-8625
1669060562 IRIS PETER PA-C
Individual
Physician Assistant (Medical)8283 GROVE AVE
RANCHO CUCAMONGA, CA 91730
(909) 527-4909

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.