Active NPI
Maureen Vieira, N.P.
- Gynecology Physician
- Modesto, CA
National Provider Identifier
1003022120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- E25237
- Practice address
- 200 W Coolidge Ave
Modesto, CA 95350-4447 - Phone
- (209) 577-5005
- Fax
- (209) 521-1533
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | E25237 | CA | Primary |
Addresses
Primary practice location
200 W Coolidge Ave
Modesto, CA 95350-4447
Mailing address
200 W Coolidge Ave
Modesto, CA 95350-4447
Phone (209) 577-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 30, 2021 through Aug 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E25237 | CA | MD | Gynecology Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICHCDD/Endpoint/ICHCDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1003022120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W COOLIDGE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504447",
"telephone_number": "209-577-5005",
"fax_number": "209-521-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COOLIDGE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504447",
"telephone_number": "209-577-5005",
"fax_number": "209-521-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEIRA",
"first_name": "MAUREEN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "E25237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.