Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wildwood Medical, a Medical Corp

Organization Family Medicine Physician · NPI 1013964220

Wildwood Medical, a Medical Corp is a Family Medicine Physician in Penn Valley, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11244 Pleasant Valley Rd
Penn Valley, CA 95946
Phone: (530) 432-4937
Fax: (530) 432-5261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013964220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ginny Backus — Billing Clerk · (530) 477-6830
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 29, 2009
Mailing address11244 Pleasant Valley Rd, Penn Valley, CA 95946

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