NPIMap

Organization Active NPI

On Site Physician Services, PC

  • Family Medicine Physician
  • Commerce, CA
National Provider Identifier
1881178358
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ON SITE PHYSICIAN SERVICES, PC
Practice address
6131 Telegraph Road
Commerce, CA 90040
Phone
(323) 721-2100
Fax
(815) 759-5202
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Dr. Brian Wilbur, M.D.
Title
President
Phone
(213) 840-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6131 Telegraph Road
Commerce, CA 90040

Mailing address

4805 Prime Parkway
PO Box 550
McHenry, IL 60050
Phone (815) 363-9500

National Provider Directory

National Provider Directory
Tax ID family
On Site Physician Services PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6131 Telegraph Rd
Commerce, CA 90040
Phone (323) 721-2100

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1881178358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 PRIME PARKWAY",
            "address_2": "PO BOX 550",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-363-9500",
            "fax_number": "815-363-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 TELEGRAPH ROAD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "323-721-2100",
            "fax_number": "815-759-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE PHYSICIAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-840-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.