Active NPI
Wenneker & Loftus Inc
- Surgery Physician
- Napa, CA
National Provider Identifier
1124039029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WENNEKER & LOFTUS INC
- Practice address
- 3443 Villa Lane
Suite 3
Napa, CA 94558-6417 - Phone
- (707) 226-2034
- Fax
- (707) 252-1087
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sasha J Rios
- Title
- Office Manager
- Phone
- (707) 226-2031
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 2086S0129X | |||
| Surgical Oncology Physician | 2086X0206X | C529280 | CA |
Addresses
Primary practice location
3443 Villa Lane
Suite 3
Napa, CA 94558-6417
Mailing address
3443 Villa Lane
Suite 5
Napa, CA 94558-6417
Phone (707) 226-2034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0083940 | Medicaid | CA | |
| ZZZ55854Z | Other | CA | BLUE SHIELD |
Other names 1
- Surgery Group of Napa Valley
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Napa, CA
- NPI 1669480232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411344000000",
"number": "1124039029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 VILLA LANE",
"address_2": "SUITE 5",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-226-2034",
"fax_number": "707-252-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 VILLA LANE",
"address_2": "SUITE 3",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-226-2034",
"fax_number": "707-252-1087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENNEKER & LOFTUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2014-09-22",
"status": "A",
"authorized_official_last_name": "RIOS",
"authorized_official_first_name": "SASHA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "707-226-2031",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "C529280",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0083940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ55854Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Group of Napa Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.