Active NPI
Advanced Healthcare Center Apc
- Obstetrics & Gynecology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A55154
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deena S Tajran, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1033022 | Advanced Healthcare Center, Apc | Provider-performed microscopy | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1891757217
-
- Family Nurse Practitioner
- Mission Viejo, CA
- NPI 1295999571
-
- Nurse Practitioner
- San Diego, CA
- NPI 1912094467
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
- Advanced California Medical Center, Inc.
- Advanced Clinical Research Center
- Advanced DME Services, Inc. (Advanced Homecare)
- Advanced Eye & Laser Center of California Inc
- Advanced Family Counseling of San Diego Prof Corp
- Advanced Home Care Services LLC
- Advanced Home Health Care Inc
- Advanced Home Health San Diego Inc
- Advanced MD Medical Group Inc
- Advanced Pain Management & Anesthesiology
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.