DR. JOHN WOOLFREY MD
NPI 1417213711
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
700 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Woolfrey Md NPPES

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

DR. JOHN WOOLFREY MD (NPI 1417213711) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2012).

NPPES Registry Identity

NPI1417213711
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN WOOLFREYCredential: MD
Location Address700 LAWRENCE EXPYSanta Clara, CA 95051
Mailing Address700 Lawrence ExpySanta Clara, CA 95051
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1417213711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
700 LAWRENCE EXPY, Santa Clara, CA 95051

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

Dr. John Woolfrey 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 ID8426370495
PECOS Enrollment IDI20160309002318
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 Reassignment

Medicare enrollment records show John Woolfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Hospitalist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Respiratory Therapist, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Doula
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY, DEPT 301
SANTA CLARA, CA 95051

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 John Woolfrey's NPI number?

The NPI number for John Woolfrey is 1417213711. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is John Woolfrey located?

John Woolfrey practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is John Woolfrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Woolfrey enrolled in Medicare?

Yes. John Woolfrey 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 organization bills Medicare for John Woolfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Woolfrey reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 John Woolfrey'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 John Woolfrey was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.