Advanced Women's Healthcare, a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A86905 Issued in CA

Legal business name

ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION

Practice address

57463 29 Palms Hwy Ste 203
Yucca Valley, CA 92284-2925

Phone

(760) 327-7900

Fax

(760) 327-7905

NPI assigned

Aug 29, 2006

Last updated

Aug 12, 2025By 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

Jolyn Fergon, C.N.M.NPI 1104934033

Title

Vice President & Cfo

Phone

(760) 327-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Women's Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Springs, CA
  • NPI 1134237993

  O20040319001579

  Same enrollment
• Advanced Women's Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Desert, CA
  • NPI 1609064435

  O20040319001579

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Jolyn Fergon, N.P., C.N.M

  • Obstetrics & Gynecology Nurse Practitioner
  • Palm Springs, CA
  • NPI 1104934033
  NPD Authorized official
• Maria Teresa Datan Benitez, M.D.

  • Obstetrics & Gynecology Physician
  • Palm Springs, CA
  • NPI 1700044187
  NPD
• Tatiana Shidaki, WHNP

  • Women's Health Nurse Practitioner
  • Palm Springs, CA
  • NPI 1215464144
  NPD
• Kari Elizabeth Sower, NP

  • Women's Health Nurse Practitioner
  • La Quinta, CA
  • NPI 1821443235
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1144339953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE H701",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116103",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57463 29 PALMS HWY STE 203",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842925",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "FERGON",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "760-327-7900",
        "authorized_official_credential": "C.N.M."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A86905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heidi Albright, LCSW
• Jorge Alfonso Algarin
• Kathryn Alkire, RN
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• Obstetrics & Gynecology Physician in Yucca Valley, CA
• Providers in Yucca Valley, 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 12, 2025; 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.