Individual provider Active NPI

Thalia Ruth Segal, MD

  • Reproductive Endocrinology Physician
  • Walnut Creek, CA
National Provider Identifier
1467751255
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A155524 Issued in CA
Practice address
2700 Ygnacio Valley Rd Ste 170
Walnut Creek, CA 94598-3460
Phone
(925) 270-2992
Fax
(925) 588-7980
NPI assigned
Mar 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A155524 CA Primary

Addresses

Primary practice location

2700 Ygnacio Valley Rd Ste 170
Walnut Creek, CA 94598-3460

Mailing address

2700 Ygnacio Valley Rd Ste 170
Walnut Creek, CA 94598-3460
Phone (925) 270-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155524CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collab Fertility Medical, Inc. Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1467751255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 170",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983460",
            "telephone_number": "925-270-2992",
            "fax_number": "925-588-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 170",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983460",
            "telephone_number": "925-270-2992",
            "fax_number": "925-588-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "THALIA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A155524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.