ANDREA WILLEY (NPI# 1952317455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952317455 |
| Entity Type | Individual |
| Full Name | ANDREA WILLEY |
| Credential | MD |
| Practice Address |
2277 Fair Oaks Blvd Suite 402 Sacramento CA 95825-5533 |
| Mailing Address |
2277 Fair Oaks Blvd Ste 402 Sacramento CA 95825-5596 |
| Practice Telephone | 9169227546 |
| Practice Fax Number | 9169226647 |
| Mailing Telephone | 9169227546 |
| Mailing Fax Number | 9169226647 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A75733 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710425715 | Andrea Willey | Social Worker | 4756 Route 5, Passumpsic, VT 05861 | 2017-02-09 |
| 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 |
| 1053744896 | Andrea Willey Md A Professional Medical Corporation | Dermatology | 2277 Fair Oaks Blvd, Suite 402, Sacramento, CA 95825-5533 | 2013-08-15 |
| 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 |
| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760409742 | Summer R Youker | Dermatology | 2805 J St Ste 100, Sacramento, CA 95816-4307 | 2006-07-16 |
| 1619323755 | Allison Weinkle | Dermatology | 3301 C St Ste 1300, Sacramento, CA 95816-3370 | 2016-05-08 |
| 1184831521 | Michael J Fazio, Md Inc | Dermatology | 2805 J St, Suite 100, Sacramento, CA 95816-4307 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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| 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.