Organization Active NPI

Premier OB GYN Napa, Inc

  • Obstetrics & Gynecology Physician
  • Napa, CA
National Provider Identifier
1134530405
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A8707 Issued in CA
Legal business name
PREMIER OB GYN NAPA, INC
Practice address
3030 Beard Rd
Napa, CA 94558-3490
Phone
(516) 270-7518
Fax
(707) 257-2006
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Mrs. Rebecca Levy Gantt, D.O.NPI 1528165263
Title
Owner/Physician
Phone
(516) 270-7518

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 20A8707 CA Primary

Addresses

Primary practice location

3030 Beard Rd
Napa, CA 94558-3490

Mailing address

3030 Beard Rd
Napa, CA 94558-3490
Phone (516) 270-7518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141014002292 CA Part B Supplier - Clinic/Group Practice 6709006034 Receives reassigned benefits from 1 practitioner
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Locations

3030 Beard Rd
Ste C
Napa, CA 94558
Phone (707) 681-1545

3030 Beard Rd
Napa, CA 94558
Phone (516) 270-7518

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9087/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1134530405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583490",
            "telephone_number": "516-270-7518",
            "fax_number": "707-257-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583490",
            "telephone_number": "516-270-7518",
            "fax_number": "707-257-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OB GYN NAPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "LEVY GANTT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "516-270-7518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A8707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.