Organization Active NPI

Womens Institute for Infertility and Reproductive Medicine a Med

  • Obstetrics & Gynecology Physician
  • Corona, CA
National Provider Identifier
1255585675
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A41811 Issued in CA
Legal business name
WOMENS INSTITUTE FOR INFERTILITY AND REPRODUCTIVE MEDICINE A MED
Practice address
900 S Main St Ste 102
Corona, CA 92882-3401
Phone
(951) 279-8600
Fax
(951) 279-5489
NPI assigned
Nov 12, 2008
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Rajini Iyer, MD
Title
Owner
Phone
(951) 279-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A41811 CA Primary

Addresses

Primary practice location

900 S Main St Ste 102
Corona, CA 92882-3401

Mailing address

900 S Main St Ste 102
Corona, CA 92882-3401
Phone (951) 279-8600

Other identifiers 1

IdentifierTypeStateIssuer
00A418110MedicaidCA

National Provider Directory

National Provider Directory

Locations

900 S Main St
Ste 10
Corona, CA 92882
Phone (951) 279-8600

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1255585675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-279-8600",
            "fax_number": "951-279-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "951-279-8600",
            "fax_number": "951-279-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS INSTITUTE FOR INFERTILITY AND REPRODUCTIVE MEDICINE A MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "RAJINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-279-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A41811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A418110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.