Medical Arts Obstetrics Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MEDICAL ARTS OBSTETRICS GYNECOLOGY

Practice address

136 N San Mateo Dr
Suite 101
San Mateo, CA 94401-2779

Phone

(650) 344-1114

Fax

(650) 340-8016

NPI assigned

Aug 22, 2006

Last updated

Mar 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Beretta, MDNPI 1568573889

Title

General Partner

Phone

(650) 344-1114

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Sandra Beretta, MD

  • Obstetrics & Gynecology Physician
  • San Mateo, CA
  • NPI 1568573889
  Authorized official Same address or phone

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1265548390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR",
            "address_2": "SUITE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012779",
            "telephone_number": "650-344-1114",
            "fax_number": "650-340-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR",
            "address_2": "SUITE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012779",
            "telephone_number": "650-344-1114",
            "fax_number": "650-340-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS OBSTETRICS GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "BERETTA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "650-344-1114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pamela Medina Daza
• Amy E Medina, LMFT
• Jesus Medina
• John Michael Medina Jr.

• Obstetrics & Gynecology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.