NPIMap

Individual provider Active NPI

Wiley Leland Fowler, M.D.

  • Gynecologic Oncology Physician
  • Roseville, CA
National Provider Identifier
1508989468
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A100547 Issued in CA
Practice address
8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107
Phone
(916) 782-5106
Fax
(916) 878-4941
NPI assigned
Apr 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X A100547 CA Primary

Addresses

Primary practice location

8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

3000 Q Street
Sacramento, CA 95816
Phone (916) 733-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000871 CA Practitioner - Gynecological Oncology 0143316117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100

2800 L St
Sacramento, CA 95816-5616

8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100547CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 1, 2013 Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 1, 2013 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3301 C St
Ste 550
Sacramento, CA 95816
Phone (916) 556-3200

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

1901 N California St
Stockton, CA 95204
Phone (209) 946-6800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1508989468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLAZA DR STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613107",
            "telephone_number": "916-782-5106",
            "fax_number": "916-878-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Q Street",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95816",
            "country_code": "US",
            "telephone_number": "916-733-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "WILEY",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A100547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.