Organization Active NPI

San Diego Institute for Prevention and Wellness

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1306042668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G54625 Issued in CA
Legal business name
SAN DIEGO INSTITUTE FOR PREVENTION AND WELLNESS
Practice address
8008 Frost St
Suite 406
San Diego, CA 92123-4205
Phone
(858) 505-9438
Fax
(858) 613-0373
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rosalyn Ptrice Baxter-Jones, MD
Title
Medical Director
Phone
(858) 505-9438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G54625 CA Primary

Addresses

Primary practice location

8008 Frost St
Suite 406
San Diego, CA 92123-4205

Mailing address

8008 Frost St
Suite 406
San Diego, CA 92123-4205
Phone (858) 505-9438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306042668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "SUITE 406",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-505-9438",
            "fax_number": "858-613-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST",
            "address_2": "SUITE 406",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234205",
            "telephone_number": "858-505-9438",
            "fax_number": "858-613-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO INSTITUTE FOR PREVENTION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXTER-JONES",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "PTRICE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-505-9438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G54625",
            "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 Aug 22, 2020; 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.