Dwayne P Vanderberg, M.D.
Individual provider Active NPI Internal Medicine Physician · Olivehurst, CA
NPI 1225012008 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1225012008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G73626 (CA)
- Practice address
- 4941 Olivehurst Ave
Olivehurst, CA 95961-4225 - Phone
- (530) 743-4611
- Fax
- (530) 743-5770
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ampla Health
Practice addresses (Care Compare)
4941 Olivehurst Ave
Olivehurst, CA 95961-4225
Phone (530) 743-4611
Hospital & facility affiliations
- Sutter Care at Home
- Adventist Health Home Care Services
- Aspire Home Healthcare of Northern California, Inc
- Oroville Hospital
- Adventist Health and Rideout
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041118000564 | CA | Practitioner - Internal Medicine | 5193789139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73626 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current | Accepting new patients | |
| Ampla Health | Past | Accepting new patients |
Locations
4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611
2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500
935 Market St
Yuba City, CA 95991
Phone (530) 674-4261
Interoperability endpoints
- dwayne.vanderberg@ampla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G73626 | CA | Yes |
Addresses
Primary practice location
4941 Olivehurst Ave
Olivehurst, CA 95961-4225
Mailing address
PO Box Ad
Yuba City, CA 95992-1396
Phone (800) 313-0111
Other providers in Olivehurst, CA
- Gia Thomas
- Thrifty Payless Inc
- Vonda Kay Treat
- Mariah Lynn Underwood
- Karl F. Valrey
- Jillian Vanzoest
- Guadalupe Vasquez
- Jacqueline Vejar
- Amber White
- Pamela Wickline
All providers in Olivehurst, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.