Active NPI
Women'S OBGYN
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
National Provider Identifier
1316439979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMEN'S OBGYN
- Practice address
- 1111 Sonoma Avenue
Suite 202
Santa Rosa, CA 95405 - Phone
- (707) 575-1626
- Fax
- (707) 575-3941
- NPI assigned
- May 30, 2018
- 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
- Lela M. Emad, M.D.
- Title
- President
- Phone
- (707) 575-1626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Clinic/Center | 261Q00000X | G061698 | CA |
Addresses
Primary practice location
1111 Sonoma Avenue
Suite 202
Santa Rosa, CA 95405
Mailing address
1111 Sonoma Avenue
Suite 202
Santa Rosa, CA 95405
Phone (707) 575-1626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1128 Sonoma Ave
Santa Rosa, CA 95405
Phone (707) 575-1626
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
- NPI 1811902612
-
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
- NPI 1982716221
-
- Plastic Surgery Physician
- Santa Rosa, CA
- NPI 1083639090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548979200000",
"number": "1316439979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SONOMA AVENUE",
"address_2": "SUITE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-575-1626",
"fax_number": "707-575-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SONOMA AVENUE",
"address_2": "SUITE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-575-1626",
"fax_number": "707-575-3941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S OBGYN",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-30",
"last_updated": "2019-02-01",
"status": "A",
"authorized_official_last_name": "EMAD",
"authorized_official_first_name": "LELA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-575-1626",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "G061698",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.