Vanessa Patrick, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13210 Issued in CA

Practice address

460 W Sycamore St
Willows, CA 95988-2832

Phone

(530) 934-3385

Fax

(530) 934-3387

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17033/brand/1/csg/1/fhir/r4

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.

• Innovative Sleep Centers, Inc.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Redding, CA
  • NPI 1538564463
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Willows, CA
  • NPI 1336187178
  Medicare reassignment
• Glenn Medical Center, LLC

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD
• Glenn Medical Center, LLC

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1356388961
  NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384
  NPD
• Orland Urgent Care Inc., Professional Corporation

  • Family Medicine Physician
  • Orland, CA
  • NPI 1629303383
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1437212461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882832",
            "telephone_number": "530-934-3385",
            "fax_number": "530-934-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882832",
            "telephone_number": "530-934-3385",
            "fax_number": "530-934-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "VANESSA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13210",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick M Noel, MS
• Northern Valley Indian Health Inc
• Adeola Oniwe, PHARMD
• April Marie Pack
• Tejas Patel, RPH
• Audrey Grace Perkes
• Calley Marie Pfyl, ACSW
• Ernest Fredrick Pieper, PHARMD
• John Richard Pierson, DDS
• David Stuart Prest

• Physician Assistant in Willows, CA
• Providers in Willows, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.

Verify at the official NPI Registry.