Organization Active NPI

Wenneker & Loftus Inc

  • Surgery Physician
  • Napa, CA
National Provider Identifier
1124039029
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Sep 22, 2014

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0083940MedicaidCA
ZZZ55854ZOtherCABLUE SHIELD

Other names 1

  • Surgery Group of Napa Valley Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.