Organization Active NPI

W 2 W Medical Group Inc

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
National Provider Identifier
1225336282
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A50582 Issued in CA
Legal business name
W 2 W MEDICAL GROUP INC
Practice address
531 S Harbor Blvd
Anaheim, CA 92805-4525
Phone
(714) 956-3535
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Hitesh Mamtora
Title
Sec
Phone
(714) 996-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A50582 CA Primary

Addresses

Primary practice location

531 S Harbor Blvd
Anaheim, CA 92805-4525

Mailing address

531 S Harbor Blvd
Anaheim, CA 92805-4525
Phone (714) 956-3535

Other practice location 1

531 S Harbor Blvd
Anaheim, CA 92805-4525
Phone (714) 961-8623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000083 CA Part B Supplier - Clinic/Group Practice 5294993630 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

531 S Harbor Blvd
Anaheim, CA 92805
Phone (714) 956-3535

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13001/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1225336282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054525",
            "telephone_number": "714-956-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054525",
            "telephone_number": "714-956-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928054525",
            "country_code": "US",
            "telephone_number": "714-961-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "W 2 W MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MAMTORA",
        "authorized_official_first_name": "HITESH",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "714-996-4912"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.