Big Valley OB-GYN Medical Center,Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A5298 Issued in CA

Legal business name

BIG VALLEY OB-GYN MEDICAL CENTER,INC.

Practice address

420 W Acacia St
Suite 11
Stockton, CA 95203-2441

Phone

(209) 948-4098

Fax

(209) 948-2334

NPI assigned

Sep 16, 2006

Last updated

Aug 26, 2015By 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

Robert Charles Southmayd, D.O.

Title

Physician

Phone

(209) 948-4098

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1073619060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-4098",
            "fax_number": "209-948-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-4098",
            "fax_number": "209-948-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG VALLEY OB-GYN MEDICAL CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "SOUTHMAYD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-948-4098",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX52980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanna Anastasia Biane
• Jasmine Renee Fregilana Biascan
• Jamie Jay Bible, PA-C
• Donna L Bickham, ACSW
• Sajjad Bidar
• Amellion Bigbee
• Tracy Lee Bigelow, D.O.
• Steven Louis Billigmeier, M.D.
• Wayne Lee Billingsly
• Jenny Lynn Bills, SUDRC #14244

• Obstetrics & Gynecology Physician in Stockton, CA
• Providers in Stockton, 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 Aug 26, 2015; 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.