Organization Active NPI

Los Alamitos Women S Health Incorporated

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1407563307
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LOS ALAMITOS WOMEN S HEALTH INCORPORATED
Practice address
10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400
Phone
(562) 431-3606
Fax
(562) 430-5975
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Dr. Virginia Agnelli, MDNPI 1982643763
Title
President
Phone
(562) 505-2244

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: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400

Mailing address

10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400
Phone (562) 431-3606

Other names 1

  • Los Alamitos Women's Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230310001602 CA Part B Supplier - Clinic/Group Practice 4183097249 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

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": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1407563307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-431-3606",
            "fax_number": "562-430-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-431-3606",
            "fax_number": "562-430-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMITOS WOMEN S HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "AGNELLI",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-505-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamitos Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Alamitos Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.