GEN 5 FERTILITY CENTER, P.C. (NPI# 1164901237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164901237 |
| Entity Type | Organization |
| Organization Name | GEN 5 FERTILITY CENTER, P.C. |
| Other Organization Name | GEN 5 FERTILITY |
| Practice Address |
3420 Carmel Mountain Rd Ste 200 San Diego CA 92121-1069 |
| Practice Telephone | 8582674365 |
| Mailing Telephone | 8582674365 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | SAMUEL WOOD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8582674365 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
G68058 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gen 5 Fertility | Doing Business As Name - Organization |
| Street Address |
3420 CARMEL MOUNTAIN RD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619076635 | Samuel Horace Wood | Specialist | 3420 Carmel Mountain Rd Ste 200, San Diego, CA 92121-1069 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1457494361 | San Diego Fertility Center Medical Group,inc | Obstetrics & Gynecology | 11515 El Camino Real Ste 110, San Diego, CA 92130-3034 | 2007-02-14 |
| 1750437752 | Said T Daneshmand | Obstetrics & Gynecology | 11425 El Camino Real, San Diego, CA 92130 | 2007-01-25 |
| 1659354702 | Antoni Jacek Duleba | Obstetrics & Gynecology | 9333 Genesee Ave, San Diego, CA 92121-2111 | 2005-11-22 |
| 1952721243 | Helen Paige Swenson | Obstetrics & Gynecology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-04-24 |
| 1306288287 | Elite Fertility Center | Obstetrics & Gynecology | 4910 Directors Pl, Suite 150, San Diego, CA 92121-3811 | 2013-07-22 |
| 1003176892 | Yu-kang Ying | Obstetrics & Gynecology | 1325 Pacific Hwy, Unit 3301, San Diego, CA 92101-2580 | 2012-05-25 |
| 1205098589 | Sher Institue for Reproductive Medicine Los Angeles Medical Group Inc. | Obstetrics & Gynecology | 8899 University Center Ln, Suite 100, San Diego, CA 92122-1013 | 2008-06-27 |
| 1184892002 | L. Michael Kettel | Obstetrics & Gynecology | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2008-02-13 |
| 1962670893 | William P. Hummel | Obstetrics & Gynecology | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2008-02-13 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on GEN 5 FERTILITY CENTER, P.C..
| 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.