Individual provider Active NPI

Alicia Suzanne Wenberg, M.D.

  • Obstetrics & Gynecology Physician
  • Chico, CA
National Provider Identifier
1578820080
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A120526 Issued in CA
Practice address
1665 Esplanade
Chico, CA 95926-3312
Phone
(530) 895-0423
Fax
(530) 895-1872
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A120526 CA Primary

Addresses

Primary practice location

1665 Esplanade
Chico, CA 95926-3312

Mailing address

1665 Esplanade
Chico, CA 95926-3312
Phone (530) 895-0423

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141111002019 CA Practitioner - Obstetrics/Gynecology 8527280320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1665 Esplanade
Chico, CA 95926-3312
Phone (530) 895-0423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120526CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Nov 1, 2014 Accepting new patients
Enloe Medical Center Obstetrics & Gynecology CurrentSince Nov 1, 2014 Accepting new patients

Locations

1405 Magnolia Ave
#A
Chico, CA 95926
Phone (530) 332-5080

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

1665 Esplanade
Chico, CA 95926
Phone (530) 332-5070

Interoperability endpoints

  • Direct secure messaging: awenberg15501@enloedirect.org

Organizations & group practices 2

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 1

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1578820080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263312",
            "telephone_number": "530-895-0423",
            "fax_number": "530-895-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263312",
            "telephone_number": "530-895-0423",
            "fax_number": "530-895-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENBERG",
        "first_name": "ALICIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A120526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.