Individual provider Active NPI

Maria Williamson House, M.D.

  • Surgery Physician
  • Jackson, CA
National Provider Identifier
1023002151
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
148178 Issued in CA
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

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180418002407 CA Practitioner - General Surgery 7618868456 Reassigns benefits to 3 organizations
I20220117000540 NV Practitioner - General Surgery 7618868456 Reassigns benefits to 1 organization

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
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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 Hospital, Jackson, CA, CCN 050014
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux21
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148178CAMDColon & Rectal Surgery Physician
38764COMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Affiliates of California Surgery CurrentSince Apr 1, 2018 Accepting new patients
Sutter Valley Medical Foundation Surgery CurrentSince Feb 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2022 Accepting new patients
NV Surgicalist PLLC Surgery CurrentSince Jan 3, 2022 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Apr 1, 2018 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 PastSince Aug 1, 1995 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.