DR. VINCENT P PENNISI M.D.
NPI 1487653341
Obstetrics & Gynecology in Stockton, CA

Q: What is Vincent Pennisi's NPI number?

The NPI number for Vincent Pennisi is 1487653341. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Vincent Pennisi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Pennisi was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

1617 N CALIFORNIA ST., SUITE 2-A, STOCKTON, CA 95204(209) 466-8546(209) 466-3335 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Vincent P Pennisi M.d. NPPES

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

DR. VINCENT P PENNISI M.D. (NPI 1487653341) is an individual obstetrics & gynecology provider in Stockton, California, licensed in California (G45259) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1980).

NPPES Registry Identity

NPI1487653341

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. VINCENT P PENNISICredential: M.D.

Location Address1617 N CALIFORNIA ST., SUITE 2-AStockton, CA 95204

Mailing AddressPo Box 1090Lodi, CA 95241-1090 · (209) 334-1800 · Fax (209) 334-1430

Phone(209) 466-8546

Fax(209) 466-3335

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1980

Enumeration DateJuly 21, 2005

Last NPPES UpdateSeptember 16, 2022

NPPES CertifiedSeptember 16, 2022

✔ NPI 1487653341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · G45259

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedSpecialistTaxonomy 174400000X · License G45259 (CA)

1617 N CALIFORNIA ST., Stockton, CA 95204

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Other Identifiers 2

Medicaid00G452590CA

Other1386636165CA · Group Npi

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 P Pennisi M.d. 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 ID840359881

PECOS Enrollment IDI20081106000187

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.

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

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 1487653341. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Vincent Pennisi located?

Vincent Pennisi practices at 1617 N California St. Suite 2-A, Stockton, CA 95204. The listed phone number is (209) 466-8546.

What is Vincent Pennisi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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 September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.