Organization Active NPI

Elite Fertility Center

  • Reproductive Endocrinology Physician
  • San Diego, CA
National Provider Identifier
1306288287
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
G85448 Issued in CA
Legal business name
ELITE FERTILITY CENTER
Practice address
4910 Directors PL
Suite 150
San Diego, CA 92121-3811
Phone
(858) 255-4781
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Roselyn Mateo Dinsay, M.D.
Title
Medical Director
Phone
(858) 255-4781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VE0102X G85448 CA Primary

Addresses

Primary practice location

4910 Directors PL
Suite 150
San Diego, CA 92121-3811

Mailing address

4910 Directors PL
Suite 150
San Diego, CA 92121-3811
Phone (858) 255-4781

Other names 1

  • Elite Fertility Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Fertility Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1306288287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213811",
            "telephone_number": "858-255-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DIRECTORS PL",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213811",
            "telephone_number": "858-255-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "DINSAY",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_middle_name": "MATEO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-255-4781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G85448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Fertility Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2013; 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.