Andrea Willey MD a Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A75733 Issued in CA

Legal business name

ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

2277 Fair Oaks Blvd
Suite 402
Sacramento, CA 95825-5533

Phone

(916) 922-7546

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Andrea Willey, M.D.NPI 1952317455

Title

President

Phone

(916) 922-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Willey, MD

  • MOHS-Micrographic Surgery Physician
  • Sacramento, CA
  • NPI 1952317455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1053744896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-922-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-922-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-922-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A75733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Andrade
• Patrick Andrakin
• Ellis James Andras, MD
• Camille Christine Andre, MD
• Tyler Andre, M.D.
• Andrea Williams Psychology Services
• Adam Bill Andreadakis
• Paolo Andreassi, M.D.
• Brian S. Andres, PSY.D.
• Juan Campa Andres

• Dermatology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.