| Mrs Deisha Malones Wilson, DO | |
|
145 Thunder Dr, Vista, CA 92083-6010 | |
| (760) 941-9002 | |
| (760) 630-2515 |
| Full Name | Mrs Deisha Malones Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 145 Thunder Dr, Vista, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053648626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11676 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deisha Malones Wilson, DO 11 Technology Dr, Irvine, CA 92618-2302 Ph: (949) 923-3277 | Mrs Deisha Malones Wilson, DO 145 Thunder Dr, Vista, CA 92083-6010 Ph: (760) 941-9002 |
Mary C. Cueva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 760-291-6700 Fax: 760-330-9331 | |
Kristina Lepard, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888 | |
Alexander Shaft, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5431 | |
Sophia Le Bradley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500 | |
Dr. Jennifer T Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-827-7210 | |
Alice E. Besong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 |