Viridiana Simona Vandenhengelgomez, PA65426 is a medicare enrolled "Physician Assistant" in Winters, California. Her current practice location is
172 E Grant Ave, Winters, California. You can reach out to her office (for appointments etc.) via phone at
(916) 734-2145.
Viridiana Simona Vandenhengelgomez is licensed to practice in California (license number PA65426) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124871801.
Provider's Profile
Full Name | Viridiana Simona Vandenhengelgomez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 172 E Grant Ave, Winters, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124871801
- Provider Enumeration Date: 04/10/2024
- Last Update Date: 09/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244755965
- Enrollment ID: I20250415003533
Medical Identifiers
Medical identifiers for Viridiana Simona Vandenhengelgomez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124871801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA65426 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Viridiana Simona Vandenhengelgomez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Viridiana Simona Vandenhengelgomez, PA65426 224 Raleigh Dr, Vacaville, CA 95687-6636 Ph: (530) 787-3454 | Viridiana Simona Vandenhengelgomez, PA65426 172 E Grant Ave, Winters, CA 95694-1780 Ph: (916) 734-2145 |
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