Wilbur a. Pulido

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000237 Issued in CA

Legal business name

WILBUR A. PULIDO

Practice address

2627 S Waterman Ave.
Ste C
San Bernardino, CA 92408-3738

Phone

(909) 653-4323

Fax

(909) 653-4323

NPI assigned

Aug 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wilbur A Pulido, DBA

Title

Executive Director

Phone

(909) 801-1424

Specialties & licenses 1

Addresses

Other names 1

• Wilrose Palliative and Hospice Care Former legal business name

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1689822934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 S WATERMAN AVE.",
            "address_2": "STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083738",
            "telephone_number": "909-653-4323",
            "fax_number": "909-653-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 S WATERMAN AVE.",
            "address_2": "STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083738",
            "telephone_number": "909-653-4323",
            "fax_number": "909-653-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR A. PULIDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-801-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilrose Palliative and Hospice Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amada Sukumu Whitson, MSW, ASW
• Ashlyn Whittaker
• Daron Lamar Whitworth
• Ricardo Whyte, M.D.
• Kaitlin Irene Wiechert
• Tanesha NA Qua Wilcots
• Tania D Wilcox
• Courtney Ann Wild
• Wildwood Dental Group
• Tamiko Ann Wiley

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.