NPIMap

Organization Active NPI

Yreka Womens Clinic a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Yreka, CA
National Provider Identifier
1003989583
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
YREKA WOMENS CLINIC A MEDICAL CORPORATION
Practice address
700 S Main St
Yreka, CA 96097-3354
Phone
(530) 842-4337
Fax
(530) 842-3133
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Christal J Duncan, MDNPI 1669476578
Title
President
Phone
(530) 842-4337

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X CA Primary

Addresses

Primary practice location

700 S Main St
Yreka, CA 96097-3354

Mailing address

PO Box 966
Yreka, CA 96097-0966
Phone (530) 842-4337

Other identifiers 1

IdentifierTypeStateIssuer
00G681730MedicaidCA

Other names 1

  • THE YREKA WOMENS CLINIC, INC Other name

National Provider Directory

National Provider Directory

Locations

700 S Main St
Yreka, CA 96097
Phone (530) 841-7189

Practitioners & affiliated clinicians

Practitioners 2

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1003989583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960970966",
            "telephone_number": "530-842-4337",
            "fax_number": "530-842-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973354",
            "telephone_number": "530-842-4337",
            "fax_number": "530-842-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YREKA WOMENS CLINIC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-842-4337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G681730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE YREKA WOMENS CLINIC, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.