Esse Care Surgery California PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ESSE CARE SURGERY CALIFORNIA PC

Practice address

4640 Admiralty Way
Marina del Rey, CA 90292-6621

Phone

(914) 546-3461

Fax

(646) 846-2310

NPI assigned

Feb 18, 2026

Organization subpart

No

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

Authorized official

Name

Brandon Provost

Title

VP

Phone

(914) 546-3461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1114870227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CORLIES AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031904",
            "telephone_number": "914-546-3461",
            "fax_number": "646-846-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "914-546-3461",
            "fax_number": "646-846-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSE CARE SURGERY CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "914-546-3461"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Marina del Rey, CA
• Providers in Marina del Rey, 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 Feb 18, 2026; 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.