Active NPI
William Tenere Williams, MD
- Specialist
- West Covina, CA
National Provider Identifier
1972685956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G339901
- Practice address
- 420 S Glendora Ave
West Covina, CA 91790-3001 - Phone
- (626) 919-4333
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G339901 | CA | Primary |
Addresses
Primary practice location
420 S Glendora Ave
West Covina, CA 91790-3001
Mailing address
420S Glendora Ave
West Covina, CA 91790-3001
Phone (626) 919-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G339901 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G339901 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1972685956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903001",
"telephone_number": "626-919-4333",
"fax_number": "626-919-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S GLENDORA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903001",
"telephone_number": "626-919-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WILLIAM",
"middle_name": "TENERE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G339901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "00G339901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.