Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083662340 Individual Practitioner Female Practitioner

Dr. Beata Anna Wicherski , MD

Pediatrics • Glendale, CA

Professional Overview & Biography Verified Profile Summary

Dr. Beata Wicherski, MD is a registered healthcare professional specializing in Pediatrics in Glendale, CA. Practice services are available at 777 FLOWER ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

777 Flower St Ste A

Glendale, CA 912013000

Telephone 8186372000
Fax 8182428761
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Glendale, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A53981

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A539810 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003818121

Doctor of Medicine (M.D.)

Mehdi Razeghi

Internal Medicine

NPI 1063454510
Shadi Tamaddon , NP

Nurse Practitioner

NPI 1104175454

Nurse Practitioner

Kimberly Ramirez , LCSW

Social Worker - Clinical

NPI 1114302304

Licensed Clinical Social Worker

Dr. Shivani Shah , MD

Obstetrics & Gynecology

NPI 1154373660

Doctor of Medicine (M.D.)

Dr. Mikhail Blinchik , MD

Internal Medicine

NPI 1225255201

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2011

Registered at 777 FLOWER ST STE A, GLENDALE, CA 912013000 (Tel: 8186372000)

📍
Updated Business Mailing Address April 14, 2011

Registered at 1500 W WEST COVINA PKWY, STE 201, WEST COVINA, CA 917902703 (Tel: 6262637020)

👤
Provider Name / Credentials Updated April 14, 2011

Recorded as BEATA WICHERSKI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2011

Pediatrics (License #A53981 in CA)

🟢
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083662340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: April 14, 2011
Sole Proprietor: No

Mailing Address

1500 W West Covina Pkwy, Ste 201

West Covina, CA 917902703

Phone: 6262637020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.