Active NPI
Vanessa Valencia Wilson, M.D.
- Internal Medicine Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A049261
- Practice address
- 38719 Stivers St
Fremont, CA 94536-5337 - Phone
- (510) 248-1000
- Fax
- (510) 608-6055
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A049261 | CA | Primary |
Addresses
Primary practice location
38719 Stivers St
Fremont, CA 94536-5337
Mailing address
39141 Civic Center Dr
Suite 130
Fremont, CA 94538-5818
Phone (510) 248-1680
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39141 Civic Ctr Dr
Fremont, CA 94538-5878
39141 Civic Ctr Dr
Suite 130
Fremont, CA 94538-5831
Phone (510) 791-1005
39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510
Hospital & facility affiliations
- Amore Home Health
- American Home Health Care, LLC
- Perpetual Care Home Health
- Sequoia Home Health
- Washington Hospital
- Stanford Health Care Tri-Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 66.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 423 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A049261 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Washington Township Medical Foundation | Current | Accepting new patients |
Locations
39141 Civic Center Dr
Ste 130
Fremont, CA 94538
Phone (510) 248-1680
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843
680 Mowry Ave
Fremont, CA 94536
Phone (510) 790-1511
38719 Stivers St
Fremont, CA 94536
Phone (510) 400-5252
Interoperability endpoints
- vwilson7188@direct.whhs.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pleasanton, CA
- NPI 1639304546
-
- Home Health Agency
- Milpitas, CA
- NPI 1982979316
-
- Home Health Agency
- Fremont, CA
- NPI 1316298938
-
- Home Health Agency
- Milpitas, CA
- NPI 1679951859
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1992728620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR",
"address_2": "SUITE 130",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385818",
"telephone_number": "510-248-1680",
"fax_number": "510-792-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38719 STIVERS ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365337",
"telephone_number": "510-248-1000",
"fax_number": "510-608-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VANESSA",
"middle_name": "VALENCIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A049261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.