Individual provider Active NPI

Mariela Woods, NP-C

  • Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1134675176
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95013066 Issued in CA
Practice address
770 Mason St
Vacaville, CA 95688-4646
Phone
(707) 454-5800
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008833 NC
Nurse Practitioner 363L00000X NPF95013066 CA Primary

Addresses

Primary practice location

770 Mason St
Vacaville, CA 95688-4646

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

4005 Fayetteville Rd
Raeford, NC 28376-8058
Phone (910) 848-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001270 CA Practitioner - Nurse Practitioner 6406287432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Davis Urgent Care IncGroup PAC ID 3779884937, 8 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

4515 Fermi PL
Suite 105
Davis, CA 95618-9411
Phone (530) 759-9110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95013066CAMDNurse Practitioner
5008833NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 26, 2020 Accepting new patients
Natomas Urgent Care Inc. CurrentSince Jan 24, 2024 Accepting new patients
Sutter Valley Medical Foundation Nurse Practitioner CurrentSince May 26, 2020 Accepting new patients
Davis Urgent Care Inc. CurrentSince Feb 26, 2023 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

4515 Fermi Pl
Ste 105
Davis, CA 95618
Phone (530) 759-9110

2020 Sutter Pl
Ste 104
Davis, CA 95616
Phone (530) 750-5900

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

4321 Truxel Rd
Ste F4
Sacramento, CA 95834
Phone (916) 422-9110

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935

Interoperability endpoints

  • Direct secure messaging: mwoods545394@hisp.ehr.sutterhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1134675176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MASON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884646",
            "telephone_number": "707-454-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283768058",
            "country_code": "US",
            "telephone_number": "910-848-5437",
            "fax_number": "910-848-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MARIELA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008833",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95013066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.