Active NPI
Maria Williamson House, M.D.
- Surgery Physician
- Jackson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 148178
- Practice address
- 100 Mission Blvd Ste B116
Jackson, CA 95642-2536 - Phone
- (209) 217-8416
- Fax
- (209) 217-8433
- NPI assigned
- Sep 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 148178 | CA | |
| Surgery Physician | 208600000X | 4301099492 | MI | |
| Colon & Rectal Surgery Physician | 208C00000X | 4301099492 | MI | |
| Colon & Rectal Surgery Physician | 208C00000X | 38764 | CO | |
| Surgery Physician | 208600000X | 148178 | CA | Primary |
Addresses
Primary practice location
100 Mission Blvd Ste B116
Jackson, CA 95642-2536
Mailing address
10560 Ridgecrest Dr
Jackson, CA 95642-9348
Phone (719) 648-3595
Other practice location 1
807 Illinois Ave Ste B116
Los Banos, CA 93635-3512
Phone (209) 710-8695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio State University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mission Blvd
Jackson, CA 95642-2536
200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
- Sutter Amador Hospital
- Sutter Medical Center, Sacramento
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 70 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148178 | CA | MD | Colon & Rectal Surgery Physician |
| 38764 | CO | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Affiliates of California | Surgery | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Surgery | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| NV Surgicalist PLLC | Surgery | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Ascension Borgess Hospital | Past | Accepting new patients | |
| North Springs Surgical Associates, PC | Surgery | Past | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Memorail Hospital of Los Banos | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Uch-MHS | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
815 Court St
Ste 5
Jackson, CA 95642
Phone (209) 223-5445
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
807 Illinois Ave
Ste B116
Los Banos, CA 93635
Phone (209) 710-8695
807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542
520 W I St
Los Banos, CA 93635
Phone (209) 724-0316
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
2725 Capitol Ave
Dept 402
Sacramento, CA 95816
Phone (916) 262-9400
7010 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 477-7044
Interoperability endpoints
- mhouse396478@hisp.ehr.sutterhealth.org
Organizations & group practices 14
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Surgery Physician
- Los Banos, CA
- NPI 1932440781
-
- Surgery Physician
- Las Vegas, NV
- NPI 1578229456
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- General Acute Care Hospital
- Los Banos, CA
- NPI 1154302271
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- Surgery Physician
- Westminster,, CO
- NPI 1477239267
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1023002151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 RIDGECREST DR",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429348",
"telephone_number": "719-648-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MISSION BLVD STE B116",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422536",
"telephone_number": "209-217-8416",
"fax_number": "209-217-8433"
}
],
"practiceLocations": [
{
"address_1": "807 Illinois Ave Ste B116",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353512",
"country_code": "US",
"telephone_number": "209-710-8695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSE",
"first_name": "MARIA",
"middle_name": "WILLIAMSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-05",
"last_updated": "2021-02-19",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "148178",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301099492",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "4301099492",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CO",
"license": "38764",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "148178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.