Wildwood Medical, A Medical Corp.
NPI 1013964220ActiveOrganization· Family Medicine· Penn Valley, CA
Family Medicine in Penn Valley, California, registered in NPPES in May 2006. The authorized official on file is Ginny L. Backus, Billing Clerk.
Overview
| NPI | 1013964220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Jul 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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