Doctors of OBGYN Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G83581 Issued in CA

Legal business name

DOCTORS OF OBGYN MEDICAL CORPORATION

Practice address

8700 Warner Ave
Suite 160
Fountain Valley, CA 92708-3207

Phone

(714) 848-2383

Fax

(714) 848-4083

NPI assigned

Jan 31, 2007

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie E Kim, M.D.NPI 1225187388

Title

President

Phone

(714) 848-2383

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• NO Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie E Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1225187388
  Medicare reassignment Authorized official
• Hind Al-Azawi, MD

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1598116915
  NPD (past)
• Minal Gunvantray Mehta, M.D.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1780787580
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1053458828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE",
            "address_2": "SUITE 160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083207",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE",
            "address_2": "SUITE 160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083207",
            "telephone_number": "714-848-2383",
            "fax_number": "714-848-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF OBGYN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-848-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G83581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053458828",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL #",
            "identifier": "1225187388",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaimee Doan
• Tammie Doan
• Trang Thi Doan Doan, RPH
• Truong Tom Doan, SLPA
• Doanh Andrew Nguyen a Professional Corp
• Doctors Surgery Center, a Medical Corporation (Guardian Surgery Center)
• Doctors Surgery Center, LLC
• Elena Domingo Calvete, LMFT
• Samantha S Domingues, COTA/L
• Karen M Don, MD

• Obstetrics & Gynecology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.