Individual
JOHN WILLARD NESSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-2171
(626) 445-0302
Mailing address
333 N SANTA ANITA AVE, SUITE 9, ARCADIA, CA 91006-2863
(626) 445-0004
(626) 445-0302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A22120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A221201
—
CA
01
—
A22120
BLUE CROSS
CA
01
—
ZZZ04744Z
BLUE SHIELD
CA
Enumeration date
08/14/2006
Last updated
05/10/2026
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