Vincent Pennisi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A186288 Issued in CA

Practice address

1805 N California St Ste 406
Stockton, CA 95204-6033

Phone

(209) 227-7806

Fax

(209) 851-3853

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gill Medical Associates IncGroup PAC ID 9234539560, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
• St Joseph'S Medical Center Home Health Home health agency, Stockton, CA, CCN 057212
• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
• Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Gill Medical Associates, Inc.

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1578149076

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lodi Memorial Hospital Association Inc

  • Rehabilitation Hospital Unit
  • Lodi, CA
  • NPI 1821028671
  NPD (past)
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  NPD (past)
• St. Joseph'S Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  NPD (past)

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

• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  Care Compare affiliation
• Port City Operating Company, LLC

  • Home Health Agency
  • Stockton, CA
  • NPI 1306978945
  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation
• Sky HHS LLC

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1750892857
  Care Compare affiliation

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1306375662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 406",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-227-7806",
            "fax_number": "209-851-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 406",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-227-7806",
            "fax_number": "209-851-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISI",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A186288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO1342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esmeralda J Pena
• Gabriella Rae Gonzales Pena
• Amber Pence
• Tasha Lynn Penkova, MS, CCC-SLP
• Pennisi Medical Group
• Vincent P Pennisi, M.D.
• Aleeza Rose Penny
• Cassandra Ariel Penny
• Marissa Penuelas
• Maurice Troy Peoples Jr.

• Internal Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.