Active NPI
Jennifer Marie Iglesias Wilder
- Peer Specialist
- Bellflower, CA
National Provider Identifier
1477372696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-NAHEVM
- Practice address
- 16429 Bellflower Blvd
Bellflower, CA 90706-5414 - Phone
- (562) 320-4186
- NPI assigned
- Oct 4, 2024
- Last updated
- Oct 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-NAHEVM | CA | Primary |
Addresses
Primary practice location
16429 Bellflower Blvd
Bellflower, CA 90706-5414
Mailing address
16429 Bellflower Blvd
Bellflower, CA 90706-5414
Phone (562) 320-4186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-NAHEVM | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1477372696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16429 BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065414",
"telephone_number": "562-320-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16429 BELLFLOWER BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065414",
"telephone_number": "562-320-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLESIAS WILDER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-04",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-NAHEVM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
- Quoc Huynh, PHARM.D.
- Kelley Mabel Hwang, PHARMD
- Paul S. Hwang, MD
- Hysperia Elderly Care Home (Hesperia Care Center)
- Hyuk Lee M.D. a Medical Corporation
- Amarachi Emmanuella Igwe, PMHNP
- Eric T Ikeda, O.D.
- Jessica Zenaida Ilagan-Avergonzado, D.D.S.
- Patricia Ann Kai Ilejay, FNP-BC
- Immaculate Heart of Mary Home Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.