Hemet OB-GYN Inc

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

C39765 Issued in CA

Legal business name

HEMET OB-GYN INC

Practice address

2390 E Florida Ave
# 104
Hemet, CA 92544-4707

Phone

(951) 492-0900

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Renato G Judalena, MD

Title

Owner

Phone

(951) 492-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457573446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460700",
            "telephone_number": "951-929-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE",
            "address_2": "# 104",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444707",
            "telephone_number": "951-492-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET OB-GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDALENA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-492-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "C39765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hemet Healthcare Medical Corporation
• Hemet Healthcare Surgicenter, Inc.
• Hemet Infusion & Specialty Pharmacy Inc (Best Outcomes Clinic Pharmacy)
• Hemet Medical RX (Advanced Care Pharmacy)
• Hemet Mobility Center Inc.
• Hemet Pain Management Center, LLC
• Hemet Prosthetic & Orthotic Group, Inc.
• Hemet Radiology Medical Group, Inc.
• Hemet SNF Healthcare, LLC (San Jacinto Valley Post Acute)
• Hemet Unified School District

• Obstetrics Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.