Individual provider Active NPI

Angela Giese, MD

  • Vascular Surgery Physician
  • Fairfield, CA
National Provider Identifier
1003266701
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A189817 Issued in CA
Practice address
101 Bodin Cir
Fairfield, CA 94535-1809
Phone
(707) 423-3000
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R75829 AZ
Vascular Surgery Physician 2086S0129X 036.154827 IL
Vascular Surgery Physician 2086S0129X A189817 CA Primary
Surgery Physician 208600000X A189817 CA

Addresses

Primary practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Mailing address

2335 Stockton Blvd FL 5
Sacramento, CA 95817-2201
Phone (916) 734-2028

Other practice location 1

2335 Stockton Blvd Fl 5
Sacramento, CA 95817-2201
Phone (916) 734-2028

Other practice location 2

5841 S Maryland Ave # Mc5028
Chicago, IL 60637-1443
Phone (773) 702-2097

Other practice location 3

925 E McDowell Rd
Phoenix, AZ 85006-2502
Phone (602) 839-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001629 CA Practitioner - Vascular Surgery 9537428867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

3250 Beard Rd
Napa, CA 94558-3406
Phone (707) 646-4180

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)14
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A189817CAMDVascular Surgery Physician
036.154827ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Surgery CurrentSince Oct 21, 2023 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 21, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince May 1, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince May 1, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2458 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-4400

1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693

3250 Beard Rd
Napa, CA 94558
Phone (707) 224-7944

10850 White Rock Rd
Rancho Cordova, CA 95670

4860 Y St
Ste 2100
Sacramento, CA 95817
Phone (916) 734-3800

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3000

1020 Nut Tree Rd
#290
Vacaville, CA 95687
Phone (707) 646-4400

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1003266701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STOCKTON BLVD FL 5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Stockton Blvd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "916-734-2028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave # Mc5028",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-2097",
            "fax_number": "773-926-0732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062502",
            "country_code": "US",
            "telephone_number": "602-839-3339",
            "fax_number": "602-839-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIESE",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R75829",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.154827",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A189817",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A189817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.