Organization Active NPI

With Open Arms Reproductive Health Care Services Inc

  • Obstetrics & Gynecology Physician
  • Eureka, CA
National Provider Identifier
1336601707
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WITH OPEN ARMS REPRODUCTIVE HEALTH CARE SERVICES INC
Practice address
2505 Lucas St Ste B
Eureka, CA 95501-3340
Phone
(707) 440-0400
Fax
(707) 440-0404
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Timothy Paik- Nicely, MDNPI 1760489389
Title
Owner
Phone
(707) 442-0400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2505 Lucas St Ste B
Eureka, CA 95501-3340

Mailing address

2505 Lucas St Ste B
Eureka, CA 95501-3340
Phone (707) 440-0400

Other identifiers 1

IdentifierTypeStateIssuer
1760489389MedicaidCA

National Provider Directory

National Provider Directory

Locations

2505 Lucas St
#B
Eureka, CA 95501
Phone (707) 442-0400

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1336601707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-440-0400",
            "fax_number": "707-440-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-440-0400",
            "fax_number": "707-440-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH OPEN ARMS REPRODUCTIVE HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "PAIK- NICELY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-442-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760489389",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.