Individual provider Active NPI

Annette Warwick, PA-C

  • Medical Physician Assistant
  • Tracy, CA
National Provider Identifier
1851033377
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA67063 Issued in CA
Practice address
1441 N Tracy Blvd
Tracy, CA 95376-3445
Phone
(209) 835-8910
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA67063 CA Primary

Addresses

Primary practice location

1441 N Tracy Blvd
Tracy, CA 95376-3445

Mailing address

1441 N Tracy Blvd
Tracy, CA 95376-3445
Phone (925) 389-6734

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210004227 CA Practitioner - Physician Assistant 9335633908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E Ogden Ave
Suite 105 313
Naperville, IL 60563-3103

1691 The Alameda
San Jose, CA 95126-2203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67063CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Oct 6, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients

Locations

1032 A St
Hayward, CA 94541
Phone (510) 300-3800

1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300

678 N Wilson Way
Ste G
Stockton, CA 95205
Phone (209) 446-2081

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

1441 N Tracy Blvd
Tracy, CA 95376
Phone (209) 835-8910

Interoperability endpoints

  • Direct secure messaging: annette.warwick.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1851033377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "925-389-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "209-835-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARWICK",
        "first_name": "ANNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA67063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.