Wilson Chick, M.D.

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

A55294 Issued in CA

Practice address

11370 Anderson St
Ste 2960
Loma Linda, CA 92354-3450

Phone

(909) 558-6422

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Gabriel, CA
  • NPI 1255390837

  CA, Cytopathology

  Medicare reassignment NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Monterey Park, CA
  • NPI 1124088919

  Cytopathology

  NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Monterey Park, CA
  • NPI 1427019173

  Cytopathology

  NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • West Covina, CA
  • NPI 1851352256

  Cytopathology

  NPD
• San Gabriel Valley Consulting Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • South El Monte, CA
  • NPI 1700845179

  Cytopathology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104849090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1740",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540240",
            "telephone_number": "909-558-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "address_2": "STE 2960",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "WILSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A55294",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A55294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A552940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiakowsky Jegede Dental Partnership
• Jason T Chiakowsky, D.D.S., M.S.
• Suk Fun Mary Chiang, MDIV.
• Candice P E Chiaramonte, PHARM.D.
• Shintaro Chiba, M.D.
• Kyra Latrice Childress, PA-C
• Charles Ching, PH.D.
• Richard Chinnock, M.D.
• Timothy James Chinnock, M.D.
• Warit Chirachevin, MD

• Cytopathology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Cytopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.