Active NPI
Specialty Obstetrics of San Diego
- Maternal & Fetal Medicine Physician
- San Diego, CA
National Provider Identifier
1447583570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G80714
- Legal business name
- SPECIALTY OBSTETRICS OF SAN DIEGO
- Practice address
- 3750 Convoy St Ste 200
San Diego, CA 92111-3770 - Phone
- (858) 794-7700
- Fax
- (858) 794-7744
- NPI assigned
- Sep 8, 2009
- 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. Deborah C Malone Jr., RN
- Title
- Director of Operations
- Phone
- (858) 794-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | G80714 | CA | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | G47611 | CA |
Addresses
Primary practice location
3750 Convoy St Ste 200
San Diego, CA 92111-3770
Mailing address
3750 Convoy St Ste 200
San Diego, CA 92111-3770
Phone (858) 794-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3750 Convoy St
Ste 200
San Diego, CA 92111
Phone (858) 794-7700
12264 El Camino Real
Ste 204
San Diego, CA 92130
Phone (858) 791-7700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- San Diego, CA
- NPI 1972673879
-
- Maternal & Fetal Medicine Physician
- San Diego, CA
- NPI 1083785844
-
- Obstetrics & Gynecology Physician
- Loma Linda, CA
- NPI 1790899300
-
- Maternal & Fetal Medicine Physician
- San Diego, CA
- NPI 1104364017
-
- Maternal & Fetal Medicine Physician
- Los Angeles, CA
- NPI 1588759062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1447583570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113770",
"telephone_number": "858-794-7700",
"fax_number": "858-794-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113770",
"telephone_number": "858-794-7700",
"fax_number": "858-794-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY OBSTETRICS OF SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "858-794-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "G80714",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "G47611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.