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

Dr. Vincent P Pennisi, MD

Individual provider Specialist · NPI 1487653341

Dr. Vincent P Pennisi, MD is an Obstetrics/Gynecology in Stockton, California. Graduated from Georgetown University School of Medicine in 1980, 46 years ago. Practices with P. Gill Obstetrics and Gynecology Medical Group, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
Georgetown University School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1617 N California St Ste 2-A
Stockton, CA 95204
Phone: (209) 466-8546
Fax: (209) 466-3335
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence G45259 (CA)
Specialist Taxonomy 174400000X · Licence G45259 (CA)

Record details

NPI number1487653341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice P. Gill Obstetrics And Gynecology Medical Group, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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