Organization Active NPI

Womens Healthcare Specialists of San Luis Obispo Inc

  • Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1326040718
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E052094 Issued in CA
Legal business name
WOMENS HEALTHCARE SPECIALISTS OF SAN LUIS OBISPO INC
Doing business as
WOMENS HEALTHCARE SPECIALISTS MEDICAL GROUP INC
Practice address
184 Casa St
San Luis Obispo, CA 93405-1804
Phone
(805) 544-4883
Fax
(805) 542-0827
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Arthur I Segal, MD
Title
President
Phone
(805) 544-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X E052094 CA Primary

Addresses

Primary practice location

184 Casa St
San Luis Obispo, CA 93405-1804

Mailing address

184 Casa St
San Luis Obispo, CA 93405-1804
Phone (805) 544-4883

Other identifiers 2

IdentifierTypeStateIssuer
FNP 25071OtherCAFICTITIOUS NAME PERMIT #
ZZZ52948ZOtherCABLUE SHIELD GROUP PIN

Other names 1

  • WOMENS HEALTHCARE SPECIALISTS MEDICAL GROUP INC Doing business as

National Provider Directory

National Provider Directory

Locations

1941 Johnson Ave
Ste 203
Sn Luis Obisp, CA 93401
Phone (805) 544-4883

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": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1326040718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CASA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051804",
            "telephone_number": "805-544-4883",
            "fax_number": "805-542-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CASA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051804",
            "telephone_number": "805-544-4883",
            "fax_number": "805-542-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE SPECIALISTS OF SAN LUIS OBISPO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-544-4883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "E052094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT #",
            "identifier": "FNP 25071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP PIN",
            "identifier": "ZZZ52948Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMENS HEALTHCARE SPECIALISTS MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.