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ANNA VICTORIA EKSTROM D.O., M.P.H.
NPI 1407199912
Pediatrics in Fremont, CA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
2299 MOWRY AVE STE 2A, FREMONT, CA 94538(510) 362-7503 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anna Victoria Ekstrom D.o., M.p.h. NPPES

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

ANNA VICTORIA EKSTROM D.O., M.P.H. (NPI 1407199912) is an individual pediatrics provider in Fremont, California, licensed in California (14076) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Healdsburg, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1407199912
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANNA VICTORIA EKSTROMCredential: D.O., M.P.H.
Location Address2299 MOWRY AVE STE 2AFremont, CA 94538-1638
Mailing Address2299 Mowry Ave Ste 2aFremont, CA 94538-1638 · (510) 362-7503
Phone(510) 362-7503
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1407199912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 14076
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2299 MOWRY AVE STE 2A, Fremont, CA 94538
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Secondary Practice Location 1

Location 11381 University StHealdsburg, CA 95448-3314 · Phone (707) 433-5494 · Fax (707) 385-2157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Victoria Ekstrom D.o., M.p.h. 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 ID7012201239
PECOS Enrollment IDI20160811001019
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anna Ekstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lpch Medical Group Div Of Lucile
13 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762
Alliance Medical Center
81 mi
Federally Qualified Health Center (FQHC)
8465 OLD REDWOOD HWY STE 320
Windsor, CA 95492
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1710218409 (707) 433-5494

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

VEENA SANKAPPANAVAR GANGASANI MD
Pediatrics
2299 MOWRY AVE STE 2A
FREMONT, CA 94538
Alameda County (510) 362-7503

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 Anna Ekstrom's NPI number?

The NPI number for Anna Ekstrom is 1407199912. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Anna Ekstrom located?

Anna Ekstrom practices at 2299 Mowry Ave Ste 2A, Fremont, CA 94538. The listed phone number is (510) 362-7503.

What is Anna Ekstrom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anna Ekstrom enrolled in Medicare?

Yes. Anna Ekstrom 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.

Which organizations bill Medicare for Anna Ekstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Ekstrom reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Alliance Medical Center (Windsor, CA). Each 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 Anna Ekstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Ekstrom was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.