SDFC IVF AND ANDROLOGY LABORATORY (NPI# 1093858946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093858946 |
| Entity Type | Organization |
| Organization Name | SDFC IVF AND ANDROLOGY LABORATORY |
| Practice Address |
11515 El Camino Real Ste 100 San Diego CA 92130-3034 |
| Practice Telephone | 8587946363 |
| Practice Fax Number | 8587946360 |
| Mailing Telephone | 8587946363 |
| Mailing Fax Number | 8587946360 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA VANDOLAH (CEO) |
| Authorized Official Telephone | 8587203177 |
| Authorized Official Credential | RN,MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
CA | Ambulatory Health Care Facilities |
| Street Address |
11515 EL CAMINO REAL STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 261QA0006X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Fertility Facility |
| A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151974 | Del Mar Surgery Center | Clinic/Center | 11425 El Camino Real, San Diego, CA 92130 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416700 | Incinta Fertility Center | Clinic/Center | 21545 Hawthorne Blvd # B, Torrance, CA 90503-6609 | 2020-01-07 |
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1033685441 | Newport Balboa Surgery Center, LLC | Clinic/Center | 20360 Sw Birch St Ste 210, Newport Beach, CA 92660-1534 | 2018-10-23 |
| 1669904520 | Ccrm San Francisco, LLC | Clinic/Center | 1060 Marsh Rd, 1st Floor, Menlo Park, CA 94025-1020 | 2017-03-30 |
| 1689106908 | Bay Area Center for Reproductive Medicine | Clinic/Center | 1060 Marsh Rd Fl 1, Menlo Park, CA 94025-1020 | 2017-03-28 |
| 1366788317 | Univfy Inc. | Clinic/Center | 685 Jay St, Los Altos, CA 94022-2364 | 2012-12-19 |
| 1770895526 | Care Fertility Surgery Center Inc. | Clinic/Center | 1500 E Chevy Chase Dr # 450a, Glendale, CA 91206-4152 | 2010-07-09 |
| 1821195009 | Pacific Coast Reproductive Center, Inc | Clinic/Center | 3720 Lomita Blvd, Suite 200, Torrance, CA 90505-3884 | 2006-09-20 |
| 1366466740 | Fertility Care of Orange County | Clinic/Center | 203 N Brea Blvd, Ste #100, Brea, CA 92821-4056 | 2006-07-27 |
| 1013540608 | Incinta Fertility Clinic Corp | Clinic/Center | 21545 Hawthorne Blvd # B, Torrance, CA 90503-6609 | 2020-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.