Wivina Talabis Urbano, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A068692 Issued in CA

Practice address

4600 South Tracy Blvd
Suite 110
Tracy, CA 95377

Phone

(209) 833-1628

Fax

(209) 833-9847

NPI assigned

Jun 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: wurbano95709@hisp.ehr.sutterhealth.org

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.

• Wivina T Urbano MD Inc

  • Pediatrics Physician
  • Tracy, CA
  • NPI 1528272580
  NPD (past) Authorized official
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Sutter Tracy Community Hospital

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1043291164
  NPD (past)

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1649274663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SOUTH TRACY BLVD",
            "address_2": "SUITE 110",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95377",
            "telephone_number": "209-833-1628",
            "fax_number": "209-833-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SOUTH TRACY BLVD",
            "address_2": "SUITE 110",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95377",
            "telephone_number": "209-833-1628",
            "fax_number": "209-833-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANO",
        "first_name": "WIVINA",
        "middle_name": "TALABIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A068692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishmeet Uppal
• Jasmeer Kaur Uppal, RN
• Manreet Uppal
• Clifford Wayne Upshaw
• Billy Urbano, M.D.
• Samantha Uribe
• Jordan M Usunov, MD
• Gianna Utzerath
• Alan Tadao Uyeno, MD
• VA Palo Altohealth Care Systems Facility

• 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 Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.