Organization Active NPI

Care for Womens Medical Group Inc

  • Gynecology Physician
  • Eastvale, CA
National Provider Identifier
1174916092
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
20A7957 Issued in CA
Legal business name
CARE FOR WOMENS MEDICAL GROUP INC
Practice address
12442 Limonite Ave
207
Eastvale, CA 91752-2402
Phone
(951) 356-8000
NPI assigned
Mar 17, 2015
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CARE FOR WOMENS MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Dr. Franklin M Johnson, DONPI 1780632299
Title
Ceo
Phone
(909) 355-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 20A7957 CA Primary
Obstetrics Physician 207VX0000X 20A7957 CA

Addresses

Primary practice location

12442 Limonite Ave
207
Eastvale, CA 91752-2402

Mailing address

1310 San Bernardino Rd
201
Upland, CA 91786-4979
Phone (909) 355-7855

National Provider Directory

National Provider Directory
Tax ID family
Care for Womens Med Group5 organizations share this tax ID, including this one
Part of
Care for Womens Med Group

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12442 Limonite Ave
Unit 207
Eastvale, CA 91752
Phone (951) 356-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1174916092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-355-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12442 LIMONITE AVE",
            "address_2": "207",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522402",
            "telephone_number": "951-356-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR WOMENS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE FOR WOMENS MEDICAL GROUP INC",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-355-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "20A7957",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "20A7957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.