Palmdale Regional Women's Care, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PALMDALE REGIONAL WOMEN'S CARE, INC.

Practice address

520 W Palmdale Blvd
Ste Q
Palmdale, CA 93551-4229

Phone

(661) 947-3300

Fax

(661) 947-3322

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ken Clayton, D.O.NPI 1215010194

Title

President

Phone

(661) 947-3300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 3

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.

• Ken R Clayton, D.O.

  • Obstetrics & Gynecology Physician
  • Kailua Kona, HI
  • NPI 1215010194

  CA, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Angelique Hernandez, FNP

  • Family Nurse Practitioner
  • Palmdale, CA
  • NPI 1700748613
  NPD
• Bobbie Lee Tahar, NP

  • Family Nurse Practitioner
  • Palmdale, CA
  • NPI 1073210951
  NPD

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1316247182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PALMDALE BLVD",
            "address_2": "STE Q",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514229",
            "telephone_number": "661-947-3300",
            "fax_number": "661-947-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W PALMDALE BLVD",
            "address_2": "STE Q",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514229",
            "telephone_number": "661-947-3300",
            "fax_number": "661-947-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMDALE REGIONAL WOMEN'S CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-947-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palmdale Pediatric Center Inc (Palmdale Pediatric Center PPC)
• Palmdale Regional Congregate Living, Inc
• Palmdale Regional Dialysis Medical Center Inc
• Palmdale School District
• Palmdale Urgent Care
• Palmdale Urgent Care Inc
• Palmdale Urology
• Palmdale Women and Children's Center

• Obstetrics & Gynecology Physician in Palmdale, CA
• Providers in Palmdale, 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 Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.