Wildwood Medical, a Medical Corp.
NPI 1013964220 · Family Medicine Physician · Penn Valley, CA
Wildwood Medical, a Medical Corp. is a Family Medicine Physician organization in Penn Valley, CA (NPI 1013964220).
Provider details
- NPI number
- 1013964220
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ginny Backus, Billing Clerk(530) 477-6830
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2009-07-29
Frequently asked questions
- What is Wildwood Medical, a Medical Corp.'s NPI number?
- Wildwood Medical, a Medical Corp.'s National Provider Identifier (NPI) is 1013964220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwood Medical, a Medical Corp.?
- Wildwood Medical, a Medical Corp. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wildwood Medical, a Medical Corp. located?
- Wildwood Medical, a Medical Corp.'s practice location on file with NPPES is 11244 Pleasant Valley Rd, Penn Valley, CA 95946.
- What is Wildwood Medical, a Medical Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Wildwood Medical, a Medical Corp. is (530) 432-4937.
- Who is the authorized official for Wildwood Medical, a Medical Corp.?
- The authorized official listed on Wildwood Medical, a Medical Corp.'s NPPES record is Ginny Backus, Billing Clerk. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwood Medical, a Medical Corp.'s NPI active?
- Yes — Wildwood Medical, a Medical Corp.'s NPI (1013964220) is active in the NPPES registry as of the last update on 2009-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.