Ofelia A. Willis, MD

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

A37625 Issued in CA

Practice address

Loma Linda VA Hospital
11201 Benton St
Loma Linda, CA 92357-0001

Phone

(909) 583-6033

NPI assigned

Sep 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699871764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W SUNSET DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737251",
            "telephone_number": "909-633-9992",
            "fax_number": "909-889-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOMA LINDA VA HOSPITAL",
            "address_2": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001",
            "telephone_number": "909-583-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "OFELIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "A37625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Latoya Williams, MD
• Nicole Marie Williams
• Rakhila Williams, RN
• Shammah Ontario Nehemiah Williams, M.D.
• Shane K Williams, MD
• Renee Jean Willis, MSW, LCSW
• Conner Michael Willson, DO
• Abrianna Raye Wilson
• April Engle Wilson, M.D.
• Bradley Wilson

• Personal Emergency Response Attendant in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Personal Emergency Response Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.