NPIMap

Organization Active NPI

Women and Children's Clinic of Little Company of Mary

  • Maternal & Fetal Medicine Physician
  • Harbor City, CA
National Provider Identifier
1548487143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
WOMEN AND CHILDREN'S CLINIC OF LITTLE COMPANY OF MARY
Practice address
1403 Lomita Blvd
Ste 100
Harbor City, CA 90710-2076
Phone
(310) 784-5800
Fax
(310) 530-9811
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Francesca F Wachs
Title
Chief Operating Officer
Phone
(310) 793-8074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X CA Primary

Addresses

Primary practice location

1403 Lomita Blvd
Ste 100
Harbor City, CA 90710-2076

Mailing address

1403 Lomita Blvd
Ste 100
Harbor City, CA 90710-2076
Phone (310) 784-5800

Other identifiers 1

IdentifierTypeStateIssuer
CMM70823HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Medical Institute of Li5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1403 Lomita Blvd
Ste 100
Harbor City, CA 90710
Phone (310) 534-7600

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548487143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "STE 100",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-784-5800",
            "fax_number": "310-530-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "STE 100",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-784-5800",
            "fax_number": "310-530-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND CHILDREN'S CLINIC OF LITTLE COMPANY OF MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WACHS",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-793-8074"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70823H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • 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.