Active NPI
Sone-Seere A Wilson, MD
- Emergency Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G59162
- Practice address
- 1115 S Sunset Ave
West Covina, CA 91790-3940 - Phone
- (626) 814-2434
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G59162 | CA | Primary |
Addresses
Primary practice location
1115 S Sunset Ave
West Covina, CA 91790-3940
Mailing address
263 Ravenna Dr
Long Beach, CA 90803-3613
Phone (562) 754-0703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G519620 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59162 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Max Franklin Lebow, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Centinela Freeman Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118
7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1194772525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 RAVENNA DR",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033613",
"telephone_number": "562-754-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903940",
"telephone_number": "626-814-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SONE-SEERE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G59162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G519620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.