Active NPI
Whittier Female Medical Clinic
- Obstetrics & Gynecology Physician
- Whittier, CA
National Provider Identifier
1063636876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WHITTIER FEMALE MEDICAL CLINIC
- Practice address
- 11807 Whittier Blvd
Whittier, CA 90601-3941 - Phone
- (562) 463-7742
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth R Purdom II, M.D.
- Title
- Owner
- Phone
- (562) 463-7742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
11807 Whittier Blvd
Whittier, CA 90601-3941
Mailing address
PO Box 9151
Whittier, CA 90608-9151
Phone (562) 463-7742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A211801 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0954987 | Whittier Female Medical Clinic | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Santa Fe Springs Female Medical Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Whittier, CA
- NPI 1891919619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063636876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9151",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906089151",
"telephone_number": "562-463-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11807 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013941",
"telephone_number": "562-463-7742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITTIER FEMALE MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PURDOM",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-463-7742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A211801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
- Whittier Adult Day Health Care Center Inc.
- Whittier Anesthesia Associates a Professional Medical Corp
- Whittier Breast Imaging Professional Medical Corporation
- Whittier City Elementary School District
- Whittier Community Pharmacy Inc
- Whittier Hearing Center Inc
- Whittier Hills Surgical Center
- Whittier Home Health Care, Inc.
- Whittier Imaging Center
- Whittier Internal Medicine and Nephrology Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.