Apex Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00A4252620 Issued in CA

Legal business name

APEX PEDIATRICS INC

Practice address

399 E Highland Ave Ste 329
San Bernardino, CA 92404-3861

Phone

(909) 886-5200

Fax

(909) 886-0333

NPI assigned

Sep 25, 2011

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Stanley Wildish

Title

Manager

Phone

(951) 378-3605

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Christina Larsen, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1053029611
  NPD (past)
• Gail Marks, MD

  • Pediatrics Physician
  • San Bernardino, CA
  • NPI 1700813698
  NPD (past)
• Heather Vickers

  • Pediatrics Physician
  • Loma Linda, CA
  • NPI 1134412547
  NPD (past)

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1982987095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 329",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043861",
            "telephone_number": "909-886-5200",
            "fax_number": "909-886-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 329",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043861",
            "telephone_number": "909-886-5200",
            "fax_number": "909-886-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-25",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "WILDISH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-378-3605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "00A4252620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Anunciado
• Nwabueze Anyanwu
• Anza Wellness and Recovery (Anza Wellness & Recovery)
• Ariana Aparicio
• Apex Home Healthcare & Supplies, Inc.
• Apex Pediatrics, Inc
• Athena Apodaca
• Apple Physicians Choice a Medical Corporation
• Apple Red Nutrition Services
• Apple Urgent Care, Inc (Apple Urgent Care - San Bernardino)

• Pediatrics Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.