Samuel V Vescera, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G27029 Issued in CA

Practice address

10200 Trinity Pkwy
Suite 101
Stockton, CA 95219-7249

Phone

(209) 323-3480

Fax

(209) 472-9102

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesiology Consultants Medical Group, Inc.

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1972534048
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1881745313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7156",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670156",
            "telephone_number": "209-467-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "SUITE 101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197249",
            "telephone_number": "209-323-3480",
            "fax_number": "209-472-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCERA",
        "first_name": "SAMUEL",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G27029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G270290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Verhoeven, PT
• Atul Verma, M.D.
• Shefali Verma, DO
• Maria Versaci
• Marc Verzosa
• Arnold Vial
• Shauntrell Sheri Vickers
• Victor Community Support Services, Inc.
• Victor Y. Ho, O.D. a Professional Corporation
• Catherine Briana Victoriano

• Anesthesiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.