Vinita Wadhwani, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00A320720 Issued in CA

Practice address

1400 Celeste Drive
Crestwood Mannor
Modesto, CA 95355

Phone

(916) 422-5856

Fax

(916) 422-2307

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104986165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STILL BREEZE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-427-8161",
            "fax_number": "916-422-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CELESTE DRIVE",
            "address_2": "CRESTWOOD MANNOR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "916-422-5856",
            "fax_number": "916-422-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWANI",
        "first_name": "VINITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A320720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A320720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aidan Xuong Vuong, DO
• Peter Le Vuong, DO
• Anant K Vyas, MD
• Megan Vylonis
• Charles W Wade, CP
• Tamim Ahmad Wafa, M.D.
• Donna Marie Wagner
• Gary Wagner, M.D.
• Karin Wagner
• Leilani Lynn Wagner, FNP-BC

• Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.