DR. VINCENT P PENNISI (M.D.) – Obstetrics & Gynecology Physician, NPI 1487653341

DR. VINCENT P PENNISI (M.D.) is a healthcare provider. based in Stockton, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. G45259 (CA). The NPI Number for DR. VINCENT P PENNISI (M.D.) is 1487653341

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. VINCENT P PENNISI (M.D.)
NPI
1487653341
Phone
(209) 466-8546
Address
1617 N CALIFORNIA ST.
Enumeration Date
21 July 2005
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2094668546
Graduation Year
1980 (46 years ago)
PAC ID
0840359881
Group Practice PAC ID
9133019755
Professional Enrollment ID
I20081106000187
Address ID
CA952046117ST1617XSTXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. VINCENT P PENNISI (M.D.)

  • 1617, California Street, Stockton, San Joaquin County, California, 95204, United States

    SUITE 2-A

    STOCKTON, CA 95204

    Phone: (209) 466-8546

    Fax: (209) 466-3335

    Type: Location

  • PO BOX 1090

    LODI, CA 952411090

    Phone: (209) 334-1800

    Fax: (209) 334-1430

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($37).

Total Amount

$194

General + Research + Ownership

Payments

10

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081106000187IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133019755View full group profile
NameSpecialtyState
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

What identifier follows DR. VINCENT P PENNISI (M.D.) across health systems?
The NPI 1487653341 uniquely identifies DR. VINCENT P PENNISI (M.D.) in U.S. healthcare data.
Quick check: is DR. VINCENT P PENNISI (M.D.) active?
Public NPPES data shows DR. VINCENT P PENNISI (M.D.) with an active NPI status right now.
What type of care does DR. VINCENT P PENNISI (M.D.) provide?
DR. VINCENT P PENNISI (M.D.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. VINCENT P PENNISI (M.D.)?
The directory associates DR. VINCENT P PENNISI (M.D.) with Stockton, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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