Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Annalisa Victoria Wilson, MD

Individual provider Psychiatry Physician · NPI 1275113326

Dr. Annalisa Victoria Wilson, MD is a Psychiatry in Los Angeles, California. Graduated from Meharry Medical College School of Medicine in 2021, 5 years ago. Practices with Executive Mental Health, Inc, a 47-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
Meharry Medical College School of Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1731 E 120th St
Los Angeles, CA 90059-3051
Phone: (323) 563-4800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A192619 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275113326
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Executive Mental Health, Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Los Angeles