Tessa Marie Wyborny, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A137750 Issued in CA

Practice address

300 Hartle CT
Napa, CA 94559-4078

Phone

(707) 254-1775

NPI assigned

May 31, 2012

Last updated

Mar 21, 2023By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twyborny676159@direct.ochin.org

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.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Napa, CA
  • NPI 1700976503
  Medicare reassignment NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1245043165
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Calistoga, CA
  • NPI 1760660831
  NPD
• Ole Health

  dba CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • Davis, CA
  • NPI 1558366823
  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • Rehabilitation Hospital Unit
  • Napa, CA
  • NPI 1609947282
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1437410966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770",
            "fax_number": "707-254-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARTLE CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594078",
            "telephone_number": "707-254-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYBORNY",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MMD.34654 LL",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A137750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C. Wright, PH.D, L.AC, DNBAO
• Jessica Wrye, RDN, CDCES
• Charlotte J. Wuthrich, RD
• Karen Wuzheng
• Wyatt Dialysis LLC (Napa Home Training)
• John Arnold Wyman, LCSW
• Dareece Wynn-Frazer
• Yacoe & Krimm Inc
• Joni N Yacoe, MFT
• Richard Hajime Yamanaka, DDS

• Pediatrics Physician in Napa, CA
• Providers in Napa, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.