ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1053744896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053744896 |
| Entity Type | Organization |
| Organization Name | ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
2277 Fair Oaks Blvd Suite 402 Sacramento CA 95825-5533 |
| Practice Telephone | 9169227546 |
| Mailing Telephone | 9169227546 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | ANDREA WILLEY (PRESIDENT) |
| Authorized Official Telephone | 9169227546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A75733 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2277 FAIR OAKS BLVD SUITE 402 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689640179 | Laurie C Gregg | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2006-02-24 |
| 1750790549 | Curtes Mcpherson | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, Sacramento, CA 95825-5533 | 2014-08-06 |
| 1366788531 | Rosa Leticia Fernandez | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, 440, Sacramento, CA 95825-5533 | 2012-12-17 |
| 1679884589 | Rose Alice Sipes | Case Manager/Care Coordinator | 2277 Fair Oaks Blvd, Suite 440, Sacramento, CA 95825-1310 | 2010-06-24 |
| 1831423359 | Judith A Mikacich Md Inc | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, 355, Sacramento, CA 95825-5500 | 2009-09-30 |
| 1669622486 | Armando Galvez | Case Management | 2277 Fair Oaks Blvd, Suite 440, Sacramento, CA 95825-5533 | 2008-09-29 |
| 1730348616 | Erwin A. Eichhorn, M.d., Inc. | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2008-06-05 |
| 1346409224 | Stephen G. Hiuga, M.d., Inc. | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2008-06-05 |
| 1629276530 | Maria Virginia Vilimek | Rehabilitation Practitioner | 2277 Fair Oaks Blvd, Ste. 440, Sacramento, CA 95825-5533 | 2007-07-03 |
| 1407051394 | Kathy Vernon Gunz | Psychologist | 2277 Fair Oaks Blvd, Suite 190a, Sacramento, CA 95825-5533 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871869115 | Davina Schulman | Dermatology | 2625 Fair Oaks Blvd Ste 1, Sacramento, CA 95864-4936 | 2012-03-30 |
| 1902123383 | Pantea Hashemi | Dermatology | 650 University Ave Ste 200, Sacramento, CA 95825 | 2010-04-26 |
| 1942468962 | Jayne Joo | Dermatology | 3301 C St Ste 1400, Sacramento, CA 95816-3367 | 2008-05-27 |
| 1932308681 | Peggy Wu | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816 | 2007-07-13 |
| 1487732160 | Douglas B. Patton | Dermatology | 1020 29th St Ste 570a, Sacramento, CA 95816 | 2006-11-01 |
| 1447340849 | Lawrence J Bass | Dermatology | 5340 Elvas Avenue, Suite 600, Sacramento, CA 95819-2385 | 2006-10-14 |
| 1588602338 | William Henry Chan | Dermatology | 5525 Assembly Ct, #c, Sacramento, CA 95823-2608 | 2006-06-03 |
| 1093782120 | Alison Ann Boudreaux | Dermatology | 2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 | 2006-03-07 |
| 1649255068 | Thomas H King | Dermatology | 4680 Y Street, Suite 2100, Sacramento, CA 95817 | 2005-12-08 |
| 1730185695 | Michael Joseph Fazio | Dermatology | 2805 J Street, Suite 100, Sacramento, CA 95816 | 2005-06-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.