Active NPI
Vivian R Cefalo, NMW
- Midwife
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- NMW1509
- Practice address
- 1407 N Tracy Blvd
Tracy, CA 95376-3445 - Phone
- (209) 524-1211
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | NMW1509 | CA | Primary |
Addresses
Primary practice location
1407 N Tracy Blvd
Tracy, CA 95376-3445
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9791 | Other | CA | NURSE PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | CA | MD | Naturopath |
| NMW1509 | CA | MD | Midwife |
| 9791 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
500 W Hospital Rd
Ste A
French Camp, CA 95231
Phone (209) 468-6820
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Family Medicine Physician
- Turlock, CA
- NPI 1023065133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1194853622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-524-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 N TRACY BLVD",
"city": "TRACY",
"state": "CA",
"postal_code": "953763445",
"telephone_number": "209-524-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEFALO",
"first_name": "VIVIAN",
"middle_name": "R",
"credential": "NMW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "NMW1509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "NP9791",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.