Organization Active NPI

Advanced Healthcare Center Apc

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1255785648
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A55154 Issued in CA
Legal business name
ADVANCED HEALTHCARE CENTER APC
Practice address
10737 Camino Ruiz
Suite 114
San Diego, CA 92126-2359
Phone
(858) 578-9600
Fax
(858) 578-9065
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Deena S Tajran, MDNPI 1891757217
Title
Owner
Phone
(858) 578-9600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A55154 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz
Suite 114
San Diego, CA 92126-2359

Mailing address

1934 Via Casa Alta
La Jolla, CA 92037-5730
Phone (858) 578-9600

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1033022Advanced Healthcare Center, Apc10737 Camino Ruiz Ste 114, San Diego, CA 92126Provider-performed microscopyDec 5, 2026

National Provider Directory

National Provider Directory

Locations

291 E Lexington Ave
Ste Abc
El Cajon, CA 92020
Phone (619) 442-6600

10737 Camino Ruiz
Ste 114
San Diego, CA 92126
Phone (858) 279-9676

Practitioners & affiliated clinicians

Practitioners 3

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": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1255785648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 VIA CASA ALTA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375730",
            "telephone_number": "858-578-9600",
            "fax_number": "858-578-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "address_2": "SUITE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262359",
            "telephone_number": "858-578-9600",
            "fax_number": "858-578-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "TAJRAN",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-578-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A55154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.