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

Mignonette Mae Willkom, MD

Individual provider Family Medicine Physician · NPI 1003883133

Mignonette Mae Willkom, MD is a Family Practice in Livermore, California. Qualified in 1987, 39 years ago. Practices with University Healthcare Alliance, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
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

1133 E Stanley Blvd Ste 101
Livermore, CA 94550-4270
Phone: (925) 454-4280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A53664 (CA)

Record details

NPI number1003883133
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address1133 E Stanley Blvd Ste 101, Livermore, CA 94550-4270

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice University Healthcare Alliance — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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