Christine Emma Mae Viney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58919 Issued in CA

Practice address

1675 Shaffer Rd
Atwater, CA 95301-4456

Phone

(209) 383-5500

NPI assigned

Dec 7, 2020

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Merced, CA
  • NPI 1285623256
  Medicare reassignment
• Merced Faculty Associates Medical Group Incorporated

  • Family Medicine Physician
  • Atwater, CA
  • NPI 1215189477
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1669078648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 QUEEN ELIZABETH DR",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953018384",
            "telephone_number": "209-761-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SHAFFER RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014456",
            "telephone_number": "209-383-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEY",
        "first_name": "CHRISTINE",
        "middle_name": "EMMA MAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelia Villalobos Moreno
• Paulina Constanza Villalon, SLP
• Jessica Marie Villar, LCSW
• Rosemary Villarreal
• Norlynda Sarmago Villaver, FNP-C
• Walgreen Co
• Brittany Walls
• Walmart Inc.
• Jessa Walter
• Savanah Ward

• Physician Assistant in Atwater, CA
• Providers in Atwater, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.