San Diego Fertility Center Medical Group,Inc

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC

Practice address

11425 El Camino Real
San Diego, CA 92130-2045

Phone

(858) 794-6363

Fax

(858) 794-6360

NPI assigned

Feb 14, 2007

Last updated

Apr 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Vandolah, RN,MBA

Title

Ceo

Phone

(858) 720-3177

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandy Shuai-Ju Chuan-Dinh, M.D.

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
  • NPI 1275724478

  Reproductive Endocrinology

  NPD (past)
• Said T Daneshmand, MD

  • Reproductive Endocrinology Physician
  • San Diego, CA
  • NPI 1750437752
  NPD (past)
• Valerie A Flores, MD

  • Reproductive Endocrinology Physician
  • San Diego, CA
  • NPI 1447513908
  NPD (past)
• Brooke Friedman, M.D.

  • Obstetrics & Gynecology Physician
  • Stanford, CA
  • NPI 1487836052
  NPD (past)
• Louis Michael Kettel, MD

  • Reproductive Endocrinology Physician
  • San Diego, CA
  • NPI 1184892002
  NPD (past)
• Susanna Jung-a Park, MD

  • Specialist
  • San Diego, CA
  • NPI 1528140928
  NPD (past)
• Monica Torres, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Temecula, CA
  • NPI 1437697471
  NPD (past)
• Bryn Willson, M.D.

  • Reproductive Endocrinology Physician
  • San Diego, CA
  • NPI 1275066334
  NPD (past)
• Susan Nasab, M.D

  • Obstetrics & Gynecology Physician
  • Lutherville, MD
  • NPI 1427405216
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1457494361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302045",
            "telephone_number": "858-794-6363",
            "fax_number": "858-794-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302045",
            "telephone_number": "858-794-6363",
            "fax_number": "858-794-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "VANDOLAH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-720-3177",
        "authorized_official_credential": "RN,MBA"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Family Care (Linda Vista Health Care Center)
• San Diego Family Care
• San Diego Family Care (Mid City Community Clinic)
• San Diego Family Care (Mid-City Community Clinic-Pediatrics)
• San Diego Family Hearing Aid Center, Inc.
• San Diego First Medical Center
• San Diego Foot & Ankle, Inc
• San Diego Forensic Psychology Corporation
• San Diego Foundation for Recovery
• San Diego Gastroenterology LLC

• Reproductive Endocrinology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.