Organization Active NPI

Pablo G. Cortina M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Ukiah, CA
National Provider Identifier
1215034343
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G47561 Issued in CA
Legal business name
PABLO G. CORTINA M.D., INC.
Practice address
1101 S Dora St
Ukiah, CA 95482-6341
Phone
(707) 468-8787
Fax
(707) 468-8725
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Pablo Garza Cortina, M.D.
Title
President
Phone
(707) 468-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X G47561 CA Primary

Addresses

Primary practice location

1101 S Dora St
Ukiah, CA 95482-6341

Mailing address

1101 S Dora St
Ukiah, CA 95482-6341
Phone (707) 468-8787

Other identifiers 1

IdentifierTypeStateIssuer
00G475613MedicaidCA

National Provider Directory

National Provider Directory

Locations

1101 S Dora St
Ukiah, CA 95482
Phone (707) 272-4590

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1215034343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826341",
            "telephone_number": "707-468-8787",
            "fax_number": "707-468-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826341",
            "telephone_number": "707-468-8787",
            "fax_number": "707-468-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO G. CORTINA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "CORTINA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "GARZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-468-8587",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G47561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G475613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.