Cypress Womens Cancer Treatment

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G67092 Issued in CA

Legal business name

CYPRESS WOMENS CANCER TREATMENT

Practice address

1455 Montego
Ste 100
Walnut Creek, CA 94598-2990

Phone

(925) 627-3440

Fax

(925) 627-3450

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Babak Edraki, M.D.

Title

Ceo

Phone

(925) 627-3440

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1487785531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MONTEGO",
            "address_2": "STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982990",
            "telephone_number": "925-627-3440",
            "fax_number": "925-627-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MONTEGO",
            "address_2": "STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982990",
            "telephone_number": "925-627-3440",
            "fax_number": "925-627-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS WOMENS CANCER TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "EDRAKI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-627-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G67092",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "G67092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487785531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Floyd Custodio
• Camille Cusumano
• Rosa Cusumano
• Jaime M. Cutland, MD
• Elena Rhys Cutting, MD
• Douglas P Cyr, MFT, RDT
• D.M. Follette, M.D., Inc.
• Hailey Elaine D'Atri, NP
• Angela D'Souza
• Gabriela Da Silva Paiva del GR

• Obstetrics & Gynecology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.