DESERT WOMENS MEDICAL GROUP INC (NPI# 1891079745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891079745 |
| Entity Type | Organization |
| Organization Name | DESERT WOMENS MEDICAL GROUP INC |
| Practice Address |
9 Commercial Blvd Novato CA 94949-6118 |
| Mailing Address |
Po Box 2974 Palm Springs CA 92263-2974 |
| Practice Telephone | 7603201805 |
| Practice Fax Number | 7603201805 |
| Mailing Telephone | 7603201805 |
| Mailing Fax Number | 7603201805 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DR. MARGARET VIVIAN COOPER VAUGHN (OWNER) |
| Authorized Official Telephone | 7603201805 |
| Authorized Official Credential | M.D.F.A.C.O.G |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A87941 | CA | Other Service Providers |
| Street Address |
9 COMMERCIAL BLVD |
| City | NOVATO |
| State | CA |
| Zip Code | 94949-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632548 | Lyndsie Baker | Marriage & Family Therapist | 9 Commercial Blvd, Suite 103, Novato, CA 94949-6118 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365427 | Rebecca Pia Ashkenazy | Counselor | 201 Alameda Del Prado Suite 201, Novato, CA 94949 | 2020-01-15 |
| 1063073583 | Minding Your Body | Clinic/Center | 250 Bel Marin Keys Boulevard, Suite D1, Nevato, CA 94949 | 2019-06-25 |
| 1750743555 | Shivani Vasishta | Physician Assistant | 5800 Nave Dr, Novato, CA 94949 | 2016-03-22 |
| 1780065516 | Sikander Isshak | Pharmacist | 437 Via Del Plano, Novato, CA 94949 | 2015-06-17 |
| 1619224763 | Kerby Ann Gleeson | Social Worker | 1385 North Hamilton Parkway, Novato, CA 94949 | 2012-08-08 |
| 1295094241 | Stacy Anne Rosenblatt | Social Worker | 1385 North Hamilton Prkway, Novato, CA 94949 | 2012-05-11 |
| 1487913505 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 394 Bel Marin Keys Blvd, Suite 4, Novato, CA 94949 | 2012-05-09 |
| 1609181213 | Vincent Gregory Pons | Internal Medicine | 448 Ignacio Blvd, No. 403, Novato, CA 94949 | 2010-08-09 |
| 1811217946 | Prima Medical Foundation | Clinic/Center | 4 Hamilton Landing, Suite 100, Novato, CA 94949 | 2010-06-11 |
| 1770776957 | Lisa Marutani | Registered Nurse | 21 Tamal Vista, 100, Corte Madera, CA 94949 | 2007-08-22 |
| Find all providers in zip 94949 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1871965194 | Steven Carroll | Specialist | 42 March Field Ct, Novato, CA 94949-6491 | 2015-10-26 |
| 1942464763 | Lucy Posey | Specialist | 131 Santa Maria Dr, Novato, CA 94947-3726 | 2008-07-10 |
| 1295931228 | Stephen Hahn-smith | Specialist | 201 Alameda Del Prado Ste 210, Novato, CA 94949-6698 | 2007-06-26 |
| 1033265079 | Peter R Rodriguez | Specialist | 2409 Vineyard Rd, Novato, CA 94947-3611 | 2007-01-25 |
| 1982751558 | Michael M. Bronshvag | Specialist | 10 Commercial Blvd, Suite 108, Novato, CA 94949-6175 | 2007-01-04 |
| 1750315727 | Stephen M. Krause M.d. A Medical Corporation | Specialist | 1025 5th St, Novato, CA 94945-2413 | 2006-07-10 |
| 1912968041 | Anthony K Gordon | Specialist | 165 Rowland Way Ste 208, Novato, CA 94945 | 2006-03-29 |
| 1639177934 | Peter Noneng Bretan | Specialist | 165 Rowland Way, Ste 303, Novato, CA 94945-5059 | 2005-07-11 |
| 1114549821 | Pitcher Medical Billing LLC | Specialist | 104 Windwalker Way, Novato, CA 94945-3439 | 2020-05-15 |
| Find all providers in NOVATO | ||||
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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.