1. Home
  2. Directory
  3. California
  4. Penn Valley
  5. Family Medicine
  6. NPI Profile

WILDWOOD MEDICAL, A MEDICAL CORP.
NPI 1013964220
Family Medicine in Penn Valley, CA

Active since May 31, 2006
11244 PLEASANT VALLEY RD, PENN VALLEY, CA 95946(530) 432-4937(530) 432-5261 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wildwood Medical, A Medical Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD MEDICAL, A MEDICAL CORP. (NPI 1013964220) is a healthcare organization registered as a family medicine in Penn Valley, California and active in the NPI registry since May 2006. The organization lists Ginny L. Backus, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1013964220
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILDWOOD MEDICAL, A MEDICAL CORP.
Location Address11244 PLEASANT VALLEY RDPenn Valley, CA 95946
Mailing Address11244 Pleasant Valley RdPenn Valley, CA 95946 · (530) 432-4937 · Fax (530) 432-5261
Phone(530) 432-4937
Fax(530) 432-5261
Organization SubpartNo
Authorized OfficialGinny L. BackusBilling Clerk · (530) 477-6830
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 29, 2009
✔ NPI 1013964220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11244 PLEASANT VALLEY RD, Penn Valley, CA 95946
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA33078
Medicare ID-Type UnspecifiedZZZ21364Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Medical, A Medical Corp.'s NPI number?

The NPI number for Wildwood Medical, A Medical Corp. is 1013964220. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Wildwood Medical, A Medical Corp. located?

Wildwood Medical, A Medical Corp. is located at 11244 Pleasant Valley Rd, Penn Valley, CA 95946. The listed phone number is (530) 432-4937.

What is Wildwood Medical, A Medical Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wildwood Medical, A Medical Corp. was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.