Organization Active NPI

Perri L Wittgrove MD

  • Obstetrics Physician
  • San Diego, CA
National Provider Identifier
1306014402
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G56550 Issued in CA
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

Updated by the provider on Mar 29, 2018

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.