GENESIS OBGYN MEDICAL GROUP INC. (NPI# 1164517132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164517132 |
| Entity Type | Organization |
| Organization Name | GENESIS OBGYN MEDICAL GROUP INC. |
| Practice Address |
16000 Apple Valley Road Suite C3 Apple Valley CA 92307 |
| Practice Telephone | 7609463806 |
| Practice Fax Number | 7609463809 |
| Mailing Telephone | 7609463806 |
| Mailing Fax Number | 7609463809 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-11-29 |
| Authorized Official Name | MISS WANDA ALTHEA WILBURN (OWNER OF MEDICAL PRACTICE) |
| Authorized Official Telephone | 7609463806 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A84253 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A842530 | 05 |
| Street Address |
16000 APPLE VALLEY ROAD SUITE C3 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1659428001 | Viruch Vachirakorntong | Obstetrics & Gynecology | 15998 Quantico Rd Ste A, Apple Valley, CA 92307-1302 | 2007-01-05 |
| 1417045113 | Vijay Arora | Obstetrics & Gynecology | 16167 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2006-10-10 |
| 1235243429 | Mohammad Reza Ahmadinia | Obstetrics & Gynecology | 18112 Outer Highway 18, Suite 101, Apple Valley, CA 92307-2211 | 2006-08-18 |
| 1992754899 | Viruch Vachirakorntong Md Inc | Obstetrics & Gynecology | 15998 Quantico Rd, Suite A, Apple Valley, CA 92307-1302 | 2006-05-08 |
| 1528043429 | Carlos D Montes | Obstetrics & Gynecology | 18564 Highway V18, Suite 303, Apple Valley, CA 92307-2338 | 2005-12-13 |
| 1649533274 | Sarah Nichole Noppen | Obstetrics & Gynecology | 19341 Bear Valley Rd Ste 105, Apple Valley, CA 92308-5152 | 2012-06-19 |
| 1548554611 | Victor C Moneke Md Inc | Obstetrics & Gynecology | 15995 Tuscola Rd Ste 208, Apple Valley, CA 92307-2159 | 2011-06-06 |
| 1366752701 | Amal K Guha Md Inc | Obstetrics & Gynecology | 16124 Kasota Rd, Suite A, Apple Valley, CA 92307-2232 | 2010-10-19 |
| 1700101672 | Om Prakash Md Inc | Obstetrics & Gynecology | 18056 Wika Rd, Suite B, Apple Valley, CA 92307-2194 | 2010-04-02 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92307 |
Please comment or provide details below to improve the information on GENESIS OBGYN MEDICAL GROUP INC..
| 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.