Organization Active NPI

Cornerstone Women'S Healthcare a Medical Corp

  • Obstetrics & Gynecology Physician
  • Murrieta, CA
National Provider Identifier
1427194802
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G083821 Issued in CA
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

Updated by the provider on Mar 7, 2023

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.NPI 1871685008
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G83821MedicaidCA

Other names 1

  • Cornerstone Women's Healthcare A Medical Corporation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000791 CA Part B Supplier - Clinic/Group Practice 9133016389 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.