Organization Active NPI

Century Women Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1255499208
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A64700 Issued in CA
Legal business name
CENTURY WOMEN MEDICAL GROUP, INC
Practice address
2080 Century Park E Ste 1206
Los Angeles, CA 90067-2015
Phone
(213) 389-4544
Fax
(213) 389-4554
NPI assigned
Dec 4, 2006
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTURY WOMEN MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Nancy Cazarez
Title
Office Administrator
Phone
(213) 389-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A64700 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 1206
Los Angeles, CA 90067-2015

Mailing address

2080 Century Park E Ste 1206
Los Angeles, CA 90067-2015
Phone (213) 389-4544

Other identifiers 2

IdentifierTypeStateIssuer
GR0097001MedicaidCA
GR0097000MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Century Women Medical Group9 organizations share this tax ID, including this one
Part of
Century Women Medical Group

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1255499208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "213-389-4544",
            "fax_number": "213-389-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "213-389-4544",
            "fax_number": "213-389-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY WOMEN MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTURY WOMEN MEDICAL GROUP, INC",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "CAZAREZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "213-389-4544"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A64700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0097001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0097000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.