Organization Active NPI

Premier Womens Health Associates

  • Obstetrics & Gynecology Physician
  • West Hills, CA
National Provider Identifier
1114401106
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PREMIER WOMENS HEALTH ASSOCIATES
Practice address
7230 Medical Center Dr
West Hills, CA 91307-1907
Phone
(202) 423-6790
NPI assigned
Sep 17, 2018
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Gary Dean Ott, MDNPI 1124035688
Title
Owner
Phone
(202) 423-6790

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 Physician 207V00000X NU Primary

Addresses

Primary practice location

7230 Medical Center Dr
West Hills, CA 91307-1907

Mailing address

16800 Bollinger Dr
Pacific Palisades, CA 90272-3239
Phone (202) 423-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190207001950 CA Part B Supplier - Clinic/Group Practice 2163760661 Receives reassigned benefits from 1 practitioner
Practice locations: West Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191764Premier Womens Health Associates7230 Medical Center Dr Ste 304, West Hills, CA 91307Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1114401106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 BOLLINGER DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723239",
            "telephone_number": "202-423-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "202-423-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMENS HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-423-6790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.