ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1053744896
Dermatology in Sacramento, CA

Active since August 15, 2013
2277 FAIR OAKS BLVD, SUITE 402, SACRAMENTO, CA 95825(916) 922-7546 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Willey Md A Professional Medical Corporation NPPES

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

ANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1053744896) is a healthcare organization registered as a dermatology in Sacramento, California and active in the NPI registry since August 2013. The organization lists Andrea Willey, President, as its authorized official.

NPPES Registry Identity

NPI1053744896
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANDREA WILLEY MD A PROFESSIONAL MEDICAL CORPORATION
Location Address2277 FAIR OAKS BLVD, SUITE 402Sacramento, CA 95825-5533
Mailing Address2277 Fair Oaks Blvd, Suite 402Sacramento, CA 95825-5533 · (916) 922-7546
Organization SubpartNo
Authorized OfficialAndrea WilleyPresident · (916) 922-7546
Enumeration DateAugust 15, 2013
✔ NPI 1053744896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A75733
Definition
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.
2277 FAIR OAKS BLVD, Sacramento, CA 95825

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Willey Md A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrea Willey MD A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1952317455
2277 FAIR OAKS BLVD SUITE 402
Sacramento, CA 95825
(916) 922-7546
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Andrea Willey MD A Professional Medical Corporation's NPI number?

The NPI number for Andrea Willey MD A Professional Medical Corporation is 1053744896. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Andrea Willey MD A Professional Medical Corporation located?

Andrea Willey MD A Professional Medical Corporation is located at 2277 Fair Oaks Blvd Suite 402, Sacramento, CA 95825. The listed phone number is (916) 922-7546.

What is Andrea Willey MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrea Willey MD A Professional Medical Corporation enrolled in Medicare?

Yes. Andrea Willey MD A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea Willey MD A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Andrea Willey MD A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Willey MD A Professional Medical Corporation was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.