NPIMap

Individual provider Active NPI

Virgil L Williams, M.D.

  • Specialist
  • Concord, CA
National Provider Identifier
1912941469
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G62613 Issued in CA
Practice address
1401 Willow Pass Rd
Ste 110
Concord, CA 94520-7982
Phone
(925) 691-6432
Fax
(925) 691-6434
NPI assigned
Jun 15, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G62613 CA Primary
Diagnostic Radiology Physician 2085R0202X RHL131405 CA

Addresses

Primary practice location

1401 Willow Pass Rd
Ste 110
Concord, CA 94520-7982

Mailing address

55 Yorkshire Dr
Oakland, CA 94618-2021

Other identifiers 1

IdentifierTypeStateIssuer
00G626133OtherCAMEDICARE PIN FOR CHW WOODLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000789 CA Practitioner - Diagnostic Radiology 2365493731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Avenida Andra
Palm Desert, CA 92260-1621
Phone (510) 507-8528

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62613CAMDOral and Maxillofacial Surgery (Dentist)
G62613CAMDSpecialist
RHL131405CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Insights Diagnostic Centers Concord Professional Corporation Diagnostic Radiology CurrentSince Aug 1, 2005 Accepting new patients
Medical Insights Diagnostic Centers Concord Professional Corporation Diagnostic Radiology CurrentSince Aug 1, 2005 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

2181 Citracado Pkwy
Escondido, CA 92029
Phone (442) 277-6100

223 Fargo Way
Folsom, CA 95630
Phone (916) 351-8848

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1912941469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 YORKSHIRE DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WILLOW PASS RD",
            "address_2": "STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207982",
            "telephone_number": "925-691-6432",
            "fax_number": "925-691-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VIRGIL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62613",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHL131405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN   FOR CHW WOODLAND",
            "identifier": "00G626133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.