Pablo Garza Cortina, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G47561 Issued in CA

Practice address

1101 S Dora St
Ukiah, CA 95482-6341

Phone

(707) 468-8587

Fax

(707) 468-8725

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1003903626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826341",
            "telephone_number": "707-468-8587",
            "fax_number": "707-468-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826341",
            "telephone_number": "707-468-8587",
            "fax_number": "707-468-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA",
        "first_name": "PABLO",
        "middle_name": "GARZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G47561",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G47561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G475613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent J Corcoran, DC
• Howard Andrew Coren, M.D.
• Mariena Renee Cornett-Steward
• Leandra Christine Corpuz, MEDICAL ASSISTANT
• Perla Corral Lopez
• Michael Rudolph Cosenza, DPM
• Rileigh Cosman de Los Santos
• Meghan Nicole Cosman
• Saundra Costa
• Costco Wholesale Corporation

• Gynecology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.