NPIMap

Organization Active NPI

Spectrum Womens Health Care Medical Group Inc.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1518068592
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G66193 Issued in CA
Legal business name
SPECTRUM WOMENS HEALTH CARE MEDICAL GROUP INC.
Practice address
637 Lucas Ave
Suite 200
Los Angeles, CA 90017-1912
Phone
(213) 977-4190
Fax
(213) 977-4074
NPI assigned
Sep 25, 2006
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Mark Dwight, M.D.NPI 1851491989
Title
Physician
Phone
(213) 977-4190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A62540 CA
Obstetrics & Gynecology Physician 207V00000X A60760 CA
Obstetrics & Gynecology Physician 207V00000X A62956 CA
Obstetrics & Gynecology Physician 207V00000X G66193 CA Primary

Addresses

Primary practice location

637 Lucas Ave
Suite 200
Los Angeles, CA 90017-1912

Mailing address

637 Lucas Ave
Suite 200
Los Angeles, CA 90017-1912
Phone (213) 977-4190

National Provider Directory

National Provider Directory

Locations

637 Lucas Ave
#200
Los Angeles, CA 90017
Phone (213) 977-4190

637 Lucas Ave
Ste 200
Los Angeles, CA 90017
Phone (213) 977-4190

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1518068592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 LUCAS AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-977-4190",
            "fax_number": "213-977-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 LUCAS AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-977-4190",
            "fax_number": "213-977-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM WOMENS HEALTH CARE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DWIGHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-977-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A62540",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A60760",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A62956",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G66193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.