Wilshire Oncology Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WILSHIRE ONCOLOGY MEDICAL GROUP INC

Practice address

8283 Grove Ave
Suite 207
Rancho Cucamonga, CA 91730-3137

Phone

(909) 949-2242

Fax

(909) 920-9863

NPI assigned

Jul 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Linda D Bosserman, M.D.

Title

President

Phone

(909) 593-4333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1710987706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 ARROW HWY",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505318",
            "telephone_number": "909-593-4333",
            "fax_number": "909-593-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "SUITE 207",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-949-2242",
            "fax_number": "909-920-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE ONCOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-31",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "BOSSERMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002885",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendi Williams
• Alyna Renee Williamson
• Charlaine Ida Williamson, NP
• Jephrie Elizabeth Willis, LCSW
• Rachel Wilmot
• Angela Jane Wilson
• Grace Wilson
• Kaylee Bree Wilson
• Leonard Wilson
• Mary A. Wilson, CRNA

• Specialist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.