Active NPI
Perri L Wittgrove MD
- Obstetrics Physician
- San Diego, CA
National Provider Identifier
1306014402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G56550
- Legal business name
- PERRI L WITTGROVE MD
- Practice address
- 6719 Alvarado Rd
#302
San Diego, CA 92120-5270 - Phone
- (619) 326-0700
- Fax
- (619) 326-0703
- NPI assigned
- Feb 12, 2008
- 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
- Perri L Wittgrove, MD
- Title
- Medical Director
- Phone
- (619) 326-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | G56550 | CA | Primary |
Addresses
Primary practice location
6719 Alvarado Rd
#302
San Diego, CA 92120-5270
Mailing address
6719 Alvarado Rd
#302
San Diego, CA 92120-5270
Phone (619) 326-0700
National Provider Directory
National Provider DirectoryLocations
6719 Alvarado Rd
Ste 302
San Diego, CA 92120
Phone (619) 229-6580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- La Mesa, CA
- NPI 1801893201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1306014402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "#302",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205270",
"telephone_number": "619-326-0700",
"fax_number": "619-326-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "#302",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205270",
"telephone_number": "619-326-0700",
"fax_number": "619-326-0703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRI L WITTGROVE MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "WITTGROVE",
"authorized_official_first_name": "PERRI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "619-326-0700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "G56550",
"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 Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.