SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC (NPI# 1457494361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457494361 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC |
| Practice Address |
11515 El Camino Real Ste 110 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 | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Street Address |
11515 EL CAMINO REAL STE 110 |
| 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 | 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 |
| 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 |
| 1164901237 | Gen 5 Fertility Center, P.C. | Obstetrics & Gynecology | 3420 Carmel Mountain Rd Ste 200, San Diego, CA 92121-1069 | 2018-08-09 |
| 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 | ||||
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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.