Wivina T Urbano MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A68692 Issued in CA

Legal business name

WIVINA T URBANO MD INC

Practice address

4600 S Tracy Blvd Ste 110
Tracy, CA 95377-8105

Phone

(209) 833-1628

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Wivina T Urbano, MDNPI 1649274663

Title

President

Phone

(209) 833-1628

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wivina Talabis Urbano, M.D.

  • Pediatrics Physician
  • Tracy, CA
  • NPI 1649274663
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1528272580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD STE 110",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "209-833-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD STE 110",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "209-833-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIVINA T URBANO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "URBANO",
        "authorized_official_first_name": "WIVINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-833-1628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID#",
            "identifier": "ZZZ07958Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Williams
• Rylee Joleen Williamson
• Treana Willis
• Brian Win, PHARM.D.
• Hla Win, MD
• Jinmei Woan, MD
• Krislyn Wolfe
• Anna Lily Wong, PT, DPT
• Julia L. Wong, MD
• Kate Wong

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.