Helena Joann Vipond, M.D.
Individual provider Active NPI General Practice Physician · Smith River, CA
NPI 1023239191 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1023239191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- G19585 (CA)
- Practice address
- 415 Highland Avenue
Smith River, CA 95567 - Phone
- (707) 487-3405
- Fax
- (707) 487-3405
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G19585 | CA | Yes |
Addresses
Primary practice location
415 Highland Avenue
Smith River, CA 95567
Mailing address
415 Highland Avenue
Smith River, CA 95567
Phone (707) 487-3405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9304725 | Medicaid | CA |
Other providers in Smith River, CA
- Mark Rizk
- The Wellness Center
- Tolowa Dee-Ni' Nation
- Vincent Tran
- United Indian Health Services, Inc.
- John D. Wassenmiller
- Dwight Walter Winslow
- Katherine Wisehart
All providers in Smith River, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.