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DR. VANESSA LEE DESOUSA D.O.
NPI 1922395979
Pediatrics in Santa Rosa, CA

Active since June 28, 2011PECOS Enrolled
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 393-4033 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2021, Feb 22, 2016 (2 updates tracked since 2016).

About Dr. Vanessa Lee Desousa D.o. NPPES

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

DR. VANESSA LEE DESOUSA D.O. (NPI 1922395979) is an individual pediatrics provider in Santa Rosa, California, licensed in California (20A13179) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922395979
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. VANESSA LEE DESOUSACredential: D.O.
Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719
Mailing Address3925 Old Redwood HwySanta Rosa, CA 95403-1719 · (707) 393-4033
Phone(707) 393-4033
Sole ProprietorNo
Enumeration DateJune 28, 2011
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
✔ NPI 1922395979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A13179
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.
3925 OLD REDWOOD HWY, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vanessa Lee Desousa D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Vanessa Desousa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
36 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 20

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

LUCILLE HESTER BRONGERSMA O.D.
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5297
CRISTINA PAPPAS SILVERBERG
Speech-Language Pathologist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (205) 247-2389
DR. JEFF MILLER MD
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5312
MS. GAIL PROSSER RD, CDE
Dietitian, Registered (Nutrition, Pediatric)
3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403
Sonoma County (707) 566-5358
DR. JANE H LEE-KOIDA O.D.
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5342
DR. CHRISTINE W KU M.D.
Specialist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5452
MS. ANGELA BIZZARRI PFLUGRATH DO
Pediatrics
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4033
ELIZABETH NGUYEN TRAN OD
Optometrist
3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403
Sonoma County (707) 566-5974

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 Vanessa Desousa's NPI number?

The NPI number for Vanessa Desousa is 1922395979. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Vanessa Desousa located?

Vanessa Desousa practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 393-4033.

What is Vanessa Desousa's specialty?

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

Is Vanessa Desousa enrolled in Medicare?

Yes. Vanessa Desousa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vanessa Desousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Desousa reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Vanessa Desousa'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 Vanessa Desousa was last updated on December 15, 2021. 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.