DR. VINCENT PENNISI MD
NPI 1306375662
Internal Medicine in Stockton, CA

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
1805 N CALIFORNIA ST STE 406, STOCKTON, CA 95204(209) 227-7806(209) 851-3853 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Jun 5, 2023, Jun 4, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Vincent Pennisi Md NPPES

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

DR. VINCENT PENNISI MD (NPI 1306375662) is an individual internal medicine provider in Stockton, California, licensed in California (A186288) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306375662
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VINCENT PENNISICredential: MD
Location Address1805 N CALIFORNIA ST STE 406Stockton, CA 95204-6033
Mailing Address1805 N California St Ste 406Stockton, CA 95204-6033 · (209) 227-7806 · Fax (209) 851-3853
Fax(209) 851-3853
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 8, 2017
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1306375662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A186288
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1805 N CALIFORNIA ST STE 406, Stockton, CA 95204

Other Identifiers 1

MedicaidPO1342NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vincent Pennisi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971961350
PECOS Enrollment IDI20230615003762
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
394 services171 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
85 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1805 N CALIFORNIA ST STE 406
STOCKTON, CA 95204
Internal Medicine
1805 N CALIFORNIA ST STE 406
STOCKTON, CA 95204
Internal Medicine
1805 N CALIFORNIA ST STE 406
STOCKTON, CA 95204

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 Vincent Pennisi's NPI number?

The NPI number for Vincent Pennisi is 1306375662. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Vincent Pennisi located?

Vincent Pennisi practices at 1805 N California St Ste 406, Stockton, CA 95204. The listed phone number is (209) 227-7806.

What is Vincent Pennisi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vincent Pennisi enrolled in Medicare?

Yes. Vincent Pennisi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vincent Pennisi was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.