Active NPI
Cornerstone Women'S Healthcare a Medical Corp
- Obstetrics & Gynecology Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G083821
- Legal business name
- CORNERSTONE WOMEN'S HEALTHCARE A MEDICAL CORP
- Practice address
- 24619 Washington Ave Ste 104
Murrieta, CA 92562-8228 - Phone
- (951) 894-7555
- Fax
- (951) 894-7575
- NPI assigned
- Jan 30, 2007
- 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
- Dr. Michael Dee Andersen, M.D.
- Title
- Physician
- Phone
- (951) 894-7555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G083821 | CA | Primary |
Addresses
Primary practice location
24619 Washington Ave Ste 104
Murrieta, CA 92562-8228
Mailing address
24619 Washington Ave Ste 104
Murrieta, CA 92562-8228
Phone (951) 894-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G83821 | Medicaid | CA |
Other names 1
- Cornerstone Women's Healthcare A Medical Corporation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 304-3180
24619 Washington Ave
Ste 104
Murrieta, CA 92562
Phone (951) 316-7132
31720 US Highway 79
Ste 100
Temecula, CA 92592
Phone (909) 303-6300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Murrieta, CA
- NPI 1871685008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1427194802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24619 WASHINGTON AVE STE 104",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925628228",
"telephone_number": "951-894-7555",
"fax_number": "951-894-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24619 WASHINGTON AVE STE 104",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925628228",
"telephone_number": "951-894-7555",
"fax_number": "951-894-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE WOMEN'S HEALTHCARE A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2023-03-07",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "951-894-7555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G083821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G83821",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Women's Healthcare A Medical Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.