Organization Active NPI

Women to Women Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Riverbank, CA
National Provider Identifier
1396775037
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G62868 Issued in CA
Legal business name
WOMEN TO WOMEN MEDICAL GROUP, INC.
Practice address
2603 Patterson Rd
Suite 1
Riverbank, CA 95367-3407
Phone
(209) 869-5678
Fax
(209) 869-6357
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Susan Podolsky, M.D.
Title
M.D.
Phone
(209) 869-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G62868 CA Primary

Addresses

Primary practice location

2603 Patterson Rd
Suite 1
Riverbank, CA 95367-3407

Mailing address

2603 Patterson Rd
Suite 1
Riverbank, CA 95367-3407
Phone (209) 869-5678

National Provider Directory

National Provider Directory

Locations

2603 Patterson Rd
Ste 1
Riverbank, CA 95367
Phone (209) 521-2554

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1396775037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 PATTERSON RD",
            "address_2": "SUITE 1",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953673407",
            "telephone_number": "209-869-5678",
            "fax_number": "209-869-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 PATTERSON RD",
            "address_2": "SUITE 1",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953673407",
            "telephone_number": "209-869-5678",
            "fax_number": "209-869-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN TO WOMEN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "PODOLSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "209-869-5678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G62868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.