Organization Active NPI

Era Women'S Health, P.C.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1003657800
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ERA WOMEN'S HEALTH, P.C.
Practice address
11911 San Vicente Blvd Ste 265
Los Angeles, CA 90049-6634
Phone
(206) 498-1074
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie McClellan, MDNPI 1679523914
Title
President
Phone
(949) 933-6827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11911 San Vicente Blvd Ste 265
Los Angeles, CA 90049-6634

Mailing address

578 Washington Blvd Ste 722
Marina del Rey, CA 90292-5421
Phone (206) 498-1074

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2308568Era Women'S Health, PC11911 San Vicente Blvd Ste 265, Los Angeles, CA 90049Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

Locations

11911 San Vicente Blvd
Ste 265
Los Angeles, CA 90049
Phone (206) 498-1074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1003657800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD STE 722",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925421",
            "telephone_number": "206-498-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496634",
            "telephone_number": "206-498-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERA WOMEN'S HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-6827",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.