Gen 5 Fertility Center, P.C.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

G68058 Issued in CA

Legal business name

GEN 5 FERTILITY CENTER, P.C.

Practice address

3420 Carmel Mountain Rd Ste 200
San Diego, CA 92121-1069

Phone

(858) 267-4365

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Samuel Wood, MDNPI 1619076635

Title

Medical Director

Phone

(858) 267-4365

Specialties & licenses 1

Addresses

Other names 1

• Gen 5 Fertility Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Samuel Horace Wood, M.D., PH.D.

  • Specialist
  • San Diego, CA
  • NPI 1619076635
  NPD (past) Authorized official
• Khadija Damji, NURSE PRACTITIONER

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1033968672
  NPD

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1164901237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 CARMEL MOUNTAIN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211069",
            "telephone_number": "858-267-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 CARMEL MOUNTAIN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211069",
            "telephone_number": "858-267-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEN 5 FERTILITY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-267-4365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G68058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gen 5 Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Gelsinger
• Francia Balce Geluz
• Glendale Geluz, PHARMD
• Mark Gemender
• Natalie Gemmell, MA
• Genalyte, Inc
• Genben Lifesciences Corporation
• Nisa Gencel
• Ashlee Rae Gendron, DPT
• Julia J Gendron, MFT

• Reproductive Endocrinology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.